HomeMy WebLinkAbout4226 ROLLING GATE RD - DISCLOSURES - 6/21/2006. oPOIC
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Fort Coiling Residential Enerw Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM. Community Planning and Enviironmental services
md+ i�6s�7no,se 281 id, GWege Ave., P.O. leax 880, Fort C&ns, Co et1522
Void 970 2218700 FAX 070 224 6134
Job Address: f'i Z�'210 (ZA t t 11A
General contractor.
Mechatnioal Contractor: l h�.' A r-7"AVn 4•-iIA-
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This disclosure form is to be signed by the mechanical contractor or representallys'.e! the general oantractor.
Please typo or print, except for the slgnature.
If there are multiple systerns serving any function, make multiple entries to describe them.
One copy of thls torrn must be provided to the Building and Zoning Department prior to the C.O.
One copy of this form moist be made available to the original home buyer.
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e c arlify that the above-Olsted (I p piping)
equipment nc.fudin ducts andwas Installed In the building at the above lowdon
In conforManc0 with the raquiremanta of the Fort Collins Resid,andal Energy Code and Mechanical Code; and further, that
such equipment was Installed in accordance with =nufectureng imstmo ions.
Person Cerfting Job:
Signature
— -- _.,Zmel
Business Firm:
Address:
Ph
Jun-21-06 11:33A Plumbing Sa?rvices 1-970-667-9043 P.01
energy code 7
aea..t;ewtrat otv:tems dlsClo3UrO tOti•I•t
Job address:
General contractor;
Mechanical contractor.
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WYe c*r* thstthe abovealsted squlpmentwas instslled In the budding atthe above locations In conformance with the
currant requirements of the Cty of Fort CoUns•ResldMtlal Enuyy Code and Mechanical Code, and that h was installed In
accordaneewklt mtuiufuturer'akrsWcliottt:".WYi.QpA4,that any ductworkhas been Installed in conformance with
Reold
thCcurrent requtnments' of the Giy of Fort Coglrts enl♦al Energy Code end Mechanical Cade.
Okfied by .�.. Phone'
µ • Date:
Suslnmss tlrm
signature:
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Address: •,c.. '
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: .'ig. ris��4h71r.}��5..►ra��^dYr 7"^..kkY+17� guarµ ca.ir
li to be'etgned by+ihe met ttt4nioi! eonttactor or (opresentative off the general cone actor.
This w0luto form
pltsso type or print, except for the signature.
irthero en muW01 systems$ serving anyfunotion, make muld0s enures to describo them,
one copy of this form $11a11,b1,Wded,to.thgBuGft and Zoning t)apariment at final inapaztion. nya„..a,am-vim
One copy of No form snail ba provided to,thi homebuyer.'