HomeMy WebLinkAbout2709 Brush Creek Dr - Disclosures - 09/30/2002Fort Collins residential energy code 7/96
Mechanical systems disclosure form
Job address:
General contractor:
Mechanical contractor:
........................
Spacecheating system;
Space cooling system -
Water fieating: s.ystern
el Type
I Input capacity Energy Storage
Manufacturer Model # k8tuh or kW I Factor I volume
Certification
IM/e certify that the above -listed equipment was installed in the building at the above locations in conformance with the
current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code, and that it was installed in
accordance with manufacturer's instructions. I/We certify that any ductwork 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: (9 ) 223-8873
Business firmNQRTFiERr, COLORADO AIR, INC -Date:
Address; g12 Stockton Ave Signature
Instructions
This discicsure.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.
MCM09CMbl1SS23 - EM4,96