HomeMy WebLinkAbout2474 Bar Harbor Ln - Disclosures/Mechanical - 07/14/2009Jul.14. 2009 9:OOAM
No.3049 P. 1/4
Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
rpchdisc2.x1s —7/1 WS 281 N, College Ave,, P.O. Box 580, Fort Collins, CO 80522
Vpice: 970 2216760 FAX 970 224 81$4
Job Address:
General contractor:
Mechanical contractor: im"!%'
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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.
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Manufacturer
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I Manufacturer
Model fIt
Input capacity
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Manufacturer
Model
input capacity
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Energy
Factor
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Certifcat
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I/We certify at 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! instructions.
Person Certifying Job: