HomeMy WebLinkAbout333 Bannock St - Disclosures/Mechanical - 03/28/2012a
IFort Collins Residential Energy Code Till building zoning dept. oT
MEC'HANICAL D!jCLOSUPE FOPM Community Planning andEnvironmental Services
mcnaisa3.xis-i:1G�S=_ 2B1 N. Colleoe Ave., .F.C. Sox 5BC, rcr: Collins, CC BC522
Voice- 972 221 c BC rAX: 570 22-'c134
Job Address:
General contractor:
Mechanicalcontractor: Northern Colorado Air
INSTRUCTIONS
This disclosure form Is to be sicned Dy the meC`ani--a; Contra Jtor of reoresen:3ave o` the . e.le,72: COMLra Jlor.
Please type or print, exoePt for the signature.
l: there are multiple systems serving any function, make multiple entries To .^.escr ibe "hem.
One copy of this form must be provided tc the 3uilding and %oning Depanment prior to the 0.0
One copy of this fO. TM must be made available to 'he original home buyer.
A. Space heating system
B. Space cooling system
C. Wate; heating system
Certification
VVie certify that the above-lls:cd equipmen: (Including OUcts and piping) was InstalleC in the bui6nc at tn= above loc'Jons
In wnformance v/i;n 'Ile reoulremenis o; the 'CoIIIT -,:�esldential =ne'gy Code an-_ fJreckanical Coae; and fu-ner,'n2:
SJcli ecul7meni was Installe-^ Iri aocoryance With titan L'fa ct:Jre r> I:!>:i t1Ot:Ons.
Person Certifyog Job:
Siqnature
Date:
Business Firm: Northern Colorado Air
Address: 812 Stockton Ave
Fort Collins, CO 80524 Phone:970-223-887