HomeMy WebLinkAbout1214 Dewey Dr - Disclosures - 06/08/20041
F
Collins Residential Energy Code the building At zoning dept. of
HANICAL DISCLOSURE FORM Community Planning and Environmental Ser Aoss
m4aa.C2A6 MOM 2M N. Cc" Ave., P.O. Box NO, Fort Collins, CO 110522 .
Voice: 970 221 SM FAX OM 224 6134
Job Address:
General contractor.
Mechanical contractor.
INSTRUCTIONS
This disclosure form Is to be signed by the mechanical contractor or representative of the general contractor.
Pleas type or print, except for the signature.
If there are multiple systems serving any function, make mule 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
C. Water heating system
Certification
UWe certify that the above -listed equipment (including duds 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 actwrdanos with manufadurens' instructions.
Person
ral
Address: ago 4, wcalkl
zl�d4 Cc, QoGyB Phone: V7,233Z�