HomeMy WebLinkAbout909 CENTRE AVE - DISCLOSURES - 9/15/2005L
linsResidential Energy Code the buildin9 & ZOning dept. Of
NICAL DISCLOSURE FORM Community Planning and Environmental Services
mcndieczAa-7no/ee 281 N. College Ave., P.O. Box 580, FortboWns, CO.80522
Voice: 97�0 >221 6760 , FAX 970 224 6134'
Job Address: 0 G&1T26,.4 tl%�N ZJ
General' contractor.- 02,40-r,4 / N
Mechanical contractor: PG k1a 10EC- .1C b
.INSTRUCTIONS
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. Space heating system.
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pace.coolin .::�:. �:•;:.
,... s stem:; .....,....
G > .:Vllater.'tieat r g =syst
tat P�+�P 1wa� ►lin L �L t2 w. t 5 f S,6P 1 a
UWe certify. , ,:...
y that the above-li �"�'•-��"�•• `� � . ��'•� sted equipment (including du -
in conformance with the re 9 cts and piping) was instailed'ill the building. at the above locations
quirements.of fh�e Fort Collins Residential Energy Code and Mechanical Code; and further, that
Such equipment was installed in accordance with manufacturers- instructions.
person •Certifying Job:
3lgnature: