HomeMy WebLinkAbout3450 Lost Lake Pl - Disclosures/Mechanical - 07/18/2003Fort Collins residential energy code 7/96
Mechanical systems disclosure form
Job address:
General contractor:
Mechanical contractor: _', CR=—Pyj
Space- heating.`system
Space:cooling- s_ystem:::
Water heafiri g s.ysaem
i ...
Fuel Tvpe Manufacturer
I I IMadei # I Input capacity Energy Storage
e k8mh®r KW Factor ( ,..e
Certffidatian
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. 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: Mark S h a d ow e n Phone; (970) 223-8873
Business tlrm:,gp�rtmrfr_2,;r C^LGRA�O
r INC-Date:
Address; qj - c-
�cc,<ron eve Signature
Instructions..
This disclosure.form is to be signea by the mecnanical contrac,or or r
Please type or print, except far the signature. epresentative of the general contractor.
If there are muit idle systems serving any func ion. make multiple entries to describe them.
Cne ccov of this form shall be proviaea to the auilding ana Zoning Ceparrment at finai inspection.
Cne copy cf this farm shall be provided to the nomebuyer.
'Mk--w VS523 - 6174,96