HomeMy WebLinkAbout5802 Stonewater Dr - Disclosures - 04/03/2003 (2)Tort Uollins residential energy code 7/96
Mechanical s stems disclosure form
Job address:
General contractor:
Mechanical contractor: NORTTHEPTT COLORALCG A�-:�, E C.
i
Space coaling system'
...
Water heaings.ystem .
.............
........... -.
do
e
I Manufacturer I I Input capacity
I
Mode! # kBtuh or kW
Energy , Storage
Cert
current requirements of the st of Fort IM/e ce that the above -listed a ut � q pment was installed in the budding at the above locations in conformance with the
City Collins Residential Energy Code and Mechanical Code, and that it was installed in
accordance with manufacturer's instructions. IMJe certify that an
nformance with
o
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code,
Y ductwork has been installed in c
Certified by: Mark Shadowen (g;pJ22S_ggi3
Business firm„- ,,�, Phone;
Address; j-11TC•Date:
T= Sto�kyon eve Signature
Instructions -
This aisciesure form is to be signed by the mecrianical contractor or rc
Please type or print, exceot for the signature, epresentatwe of the general
If there are multiple systems serving any function
Gne cony of , make multiple entries to describe them. ,,his
this form
shall be providea to the Swiding and -oning Department at final inspection,
Cne copy of this form snail be provided to the homeouyer.
mmmac.w 1l5523 — 6l24,96
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j j Fort Collins residential energy code 7�gg
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Mechanical s stems disclosure form
Jab address:
General contractor:
Mechanical contractor: NCRTT33RTT CCLCR��G .: R,
Space;coolin s stem' 9 y ..
Water heating system .
.. . .
Location
II
Tv a odel # kBtuh
I IInput 'ca aci---- Manct
or kW
Energy
Factor
Storage
volume
Certification
I/We certify that the above -listed equipment was installed in the building at the above locations i
current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code, and that it
was accordance with manufacturer's instructions. IM/e ceuczwork n conformance with the
the current requirements of the City of Fort Collins Residential Energy Code and Mechanicahas been il Code conformanceiwithlled in
Certified by: Mark S h a d o w e n P(970) 223-8873
Business firm„ - T hone:
yCn=^ �S7r BRA -TT' 2TC.Date: `
Address; 81L LOCktOn Ave `
Signature
instructions
This disclosure farm is o be si ned b t 9 y he mecnarncal contractor cr representattve of the general contractor.
Please ripe or Print except for the signature.
f there are multiple systems serving any function, make multiple entries to describe them.
Cne copy of t'�is form snail be providea to the Euiiding and Coning Cepartment at final inspection.
One copy of this corm snail be provided to the homebuyer.
m=12-.w I/SS23 — c Z"S