HomeMy WebLinkAbout563 San Juan Dr - Disclosures/Mechanical - 04/30/2012IaN41)L
Frt Collins Residential Energy Code
ECHANICAL DISCLOSURE FORM
disc2.ads—7110/98
Address:�
feral contractor:
;hanical contractor.
the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice. 970 2216760 FAX: 970 224 6134
4`
........................ ............... :.::.::: - ...•:::::::::::::'::: '
disclosure form is to be signed by the mechanical contractor or representative of the general contractor.
se type or print, except for the signature.
we are multiple systems serving any function, make multiple entries to describe them.
copy of this form must be provided to the Building and Zoning Department prior to the C.O.
copy of this form must be made available to the original home buyer.
Loc
Input capacity ( AFUE or
# kRhih rtr VAI 1 Lecnr
input capacity
Input capacity I Energy I Stor
lify that the above -listed equipment (including ducts and fin was installed . the building at the above locatl
i 9 piping)
'mance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, tf
ilpment was installed in accordance with manufacturers'-instructlons.
Certifying Job: