HomeMy WebLinkAbout2614 Stonehaven Dr - Disclosures - 05/03/2004 (2)Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
mchdiscl)ds—7/10/98
Job Address:
General contractor:
Mechanical contractor:
Northern Colorado 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 6z60 FAX: 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
RrCEIVED OCT 2 7 MM
,.
"anufacturer
Model _
kBtuh
B. Space cooling system
Location
I Fuel
I TVDe
I Manufacturer
I Model #
Input capacity
IkBtu orkW
I SEER
C. Water heating system
Fuel
II
TvDe
I Manufacturer
I Mtodel
I
Btuh �
(eLocation
IIstorage
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 Certifvinq Job: Mark Shadowen
Signature: /f � �C'��` (,(J�/,[/� Date: �� Q3
Business FirmArthern Colorado Air
Address: 812 Stockton Ave
Fort CO11ins, Co Phnno• 970-223-81973