HomeMy WebLinkAbout827 Apex Dr - Disclosures - 08/06/2003 (3)Rug 06 03-09:39a MIKE WETZHRRGER 970-416-6536
p� uo[/Pu15
[F4rt Collins ResidQntial Energy Codethe building dt zoning dept. of
ECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
n+d�drae7�as-rnaea 281 K C
Fort Co*w
Voice: 970 221 676o P� FNC 970 0. Bolt 224 6134 CO 60522
Job Address. 1� 7 //' „ _ , 7 • , n
Genaral contractor:
Mechanical contractor:
J � "
IN3T0UCTt0NS;:_
This disclosure form Is to be signed by the ... _ .. ec.:::._-•._'• '••', ..::''•��::�=- ;.:•::::::'•::.::.'.:.� :�';',:�:;;'•:::.:•.:.-.•..;.
mhanical contractor or re resents -
Please type or print, except for the signature. p tive of the general contractor.
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 mode aveliable to the original home buyer.
A.=. Space heating system .
JR: space cooling system
C. Water heating sysferri
.. • . .. .L
input repaony l Energy I storage
-
i/We certify fleet the above -listed equipment
u ' •: m:.:: ;, : '.::. ' `:"=:::.:: •.: ; » .:.:: _� F; ;: ,:�...::... �=. ''
quiperitant (in
dudireg ducts and pipin .; J'� �'•:;: ' .
in conformance with the requirements of the Fort Golgns Residential Energy Cdeand ed rMechanical Coden th ; ..... cations
such equipment was installed in accordance with manufacturers, instructions, and f
urther, that
Person Certifying Job: jF1 C.o
Address: I?
Phone_ & -- 2 ? _ ZZ O