HomeMy WebLinkAbout3809 Big Dipper Dr - Disclosures - 05/16/2003Fort Collins residential energy code 7/95
Mechanical systems, disclosure form
Job address:
General contractor:
Mechanical contractor: NORTI RN COLORPDO
.................. .
Spaceheating system::
Space cooling system
Water heating system `. :.
n I Fuel I T e Manufacturer Input capacity Energy Storage
Mode! # kBtuh or kw Factor I volume
Certificat>on
I/We 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. IIWe certify that any ductwork has been installed in conformance with
the current requirements of the City of Fart Collins Residential Energy Code and Mechanical Code.
Certified by: Mark S h a d o we n Phone: (970) 223-8873
Business firm. 9R rs1 CrLORADO �� INC.Date:'
Address; 312 Stockton Ave Signature
lnstructons .
This disciosure form is to be signed bythe mechanical contractor or re
Please type or print, except for the signature. presentative of the general contractor.
If there are multiple systems serving any function, make multiple entries to describe them.
Cne copy of this form shall be provided to the 6uiiding and Z-oning Department at final inspection.
One copy of this form shall be provided to the homebuyer.
mch6x.wo1/SS21— ol34198
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