HomeMy WebLinkAbout526 Jansen Dr - Disclosures/Mechanical - 09/26/2001W
EFortlins Residential Energy Code
NICAL DISCLOSURE FORM
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Job Address:
General contractor:
the building & zoning dept. of
Community Planningand Environmental Serolces
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 970 224 6134
Mechanical contractor: �j Q
INSTRUCt101VS
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.
..............
A;: 5paa heating system
B. Space cooling system
.... ..........
C.':;Water.heating system
Input capacity I Energy I Storage
Certification
I/We certify that 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:
Date:
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Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
mchdisc2AS=7/10198
Job Address:
General contractor:
Mechanical contractor:
5(
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
INST000TION5
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.
A.41.1space heating system
13: Space cooling system
C Water heating system
Input capacity I Energy I Storage
Certification
I/We certify that 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:
Business Firm:
Date:
Address: Ct