HomeMy WebLinkAbout2850 Kansas Dr - Disclosures/Mechanical - 03/03/2004 (9)F0 Collins It"idaMial Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community F%Mdng and Environmeniai-Services
ma,CK3C2,*-7noW 281 Al. Cdlaae Ave., P.O. Boz 580, Fatt Caller, CO 80522
Voke: 970 2216760 FAX 970 224 6134
Job address: k,�„ �� .^ /.�� �/� '� ✓� f
General contractor
Mechanical contractor.
INSTRUCTIONS
This disclosure form is to be signed by the mechanical contractor or representative of the general contractor.
Please type or print, except for the signature.
if there are multiple systems serving any function, make multiple entries to describe them.
One copy of this form must be provided to the Building 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
B. Space cooling system
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C. Water heating system
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Certification
I/We car" that the above -listed equipment (including ducts and piping) was installed in the building at the above locations
in conformance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that
such equipment was installed in accordance with manufacturers' k sbuctions.
Person Certifying Job: