HomeMy WebLinkAbout3656 Big Dipper Dr - Disclosures/Mechanical - 01/26/2005Fort Collins Rersrdentiei Energy code the building dt zoning dept. of
MECHANICAL DISCLOSURE FORM Ce"imunity Plrnninq and Environmentai 8ervi
Job Addrpsut:
General contractor:
Mechanic-, :omtrsctor.
ae►s
281 N. Cc" AV*., p,p, a= 580. Fewt COMA@, Co 80522
Volt+: 970 7s -16677 ?T FAX: 070 224 et?4
INSTRUCTIONS
This disclosur. "^^n is to be signed by the mechanical contractor or representative of the genera! contractor
Please type or cr'm, except for the signature.
:f there are nu!trpie systems serving any function, make multiple entries to describe them.
One copy c' th!s form must be provided to the Building and Zoning Department pricy to the C.O.
Ons copy of ,WS form must be made avellable to the original home buyer.
A. Space ho"f in9 system
8. Space coc+flnp ays#em
C Water he-�tinp system
CettM "Ion
UWe certify that the above -listed equipment (Including ducts and piping) was installed In the building at the above locations
in conformance Wth the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and furaher, that
such equipment was metalled In accordance with manufacturers, Instructions.
PerSOn r ^r!Ify�g JPb; �L
Signetu►e: '
Business Firm:
Address: - 2-7 tY�.
t hk
Date, 1-2-6-0
�J
Phone:
363 -447-L