HomeMy WebLinkAbout5521 Golden Willow Dr - Disclosures/Mechanical - 09/11/2000Fort Collins residential energy code 7/96
Mechanical systems disclosure form
Job address: � ,)
General contractor: (/
Mechanical contractor: NORTHERN CO7ARAD0 AIR, INC. O� U
Space heating system
Space cooling system
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW SEER
GAS
F/A
................
Water heating system
Location I Fuel I Type I Manufacturer I Model # I Input capacity I Energy I Storage
kBtuh or kW Factor volume
Certification
..................
e certify that the above -listed equipment was installed in the building at the above locations in conformance with the
and that it was installed in
current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code
accordance with man ufacturees-instructions: IMfe-certify that arty-ductwoTk has been installed in conformance with the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: ROBERT R MILLER phone: (970) 223-8873
Business firmRTHERN COIARAllO AIR, INC.Date:
Address:1823 E HARMONY RD Signature:
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 shall be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.
M=dfc.v 11=27-6124,96