HomeMy WebLinkAbout1332 Truxtun Dr - Disclosures/Mechanical - 11/20/2003 (2)E
llins Residential Energy Code
ANICAL DISCLOSURE FORM
mchdiscZ)ds—7/10/98
Job Address:
General contractor:
Mechanical contractor: Northern Colidrado Air
the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 221 6760 r TAX: 970 224 6134
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
----Type I& Manufacturer I Input capacity
B. Space cooling system
Type J.A. Manufacturer Model# Input capacity
C. Water heating system
Location I Fuel I Energy Storage
Tvoe I Manufacturer I Model # I Input kBtuh orr kW I Factor I volume
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: Mark Shadowen
Signet-- ire: p '
Business Finn: Northern Colorado Air
Address: 812 Stockton Ave
Fort Collins, Cc
Date:
Phone: 970-223-8873