HomeMy WebLinkAbout5121 Mill Stone Way - Disclosures/Mechanical - 07/27/2006Fort Collins Residential Enerrgy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community planning and Enviranrnental Services
ids.arrMe 2e1 N. College Ave., P.O. Bic MO, Fort coons, co W=
Voice. GM 2216760 FAX: =?24 6134
Job Addfess:
Genera) cant actor.
Mechanical contractor.
INSTRUCTIONS
This disclosure form is to be signed by the mechanical contractor or representative of the general oontraetor.
Please type or print, except for the signature.
If there are multple systems serving any function, make multiple entries to describe them.
One copy of this form must be provided to the BUllding and Zoning Department prior to the C.O,
One copy of this form must be made available to the original home buyer,
A. Space heating system
nw-U1i��1i�
',
AFUE or
t A �."Ie/.Ir�����Me
M A
A �Ji '. W.70 .:M
o7o-I
_
B. SpaC�.COOg60 $y3t@Ti1,.,
my
0:. Water lieafing sy am .
Loca lon
F
T
Manuteeuarar
Model
Input capacky
t or kW
Energy-
Fa r
Storage
volarne
C.ertifici�tit5n.. .
I/We certify that the 'above-1lsted equipment (including duff and plping) was installed In the building at the above loomons
In conformance with the requirements of the Fort Coiling Residential Energy Code and Mechaniml Code; and further, that
such equipment was Installed In acoordarice with manufacturers' instmations.
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