HomeMy WebLinkAbout2632 Stonehaven Dr - Disclosures/Mechanical - 07/13/200507/13/2005 13:34 9702299983 NCA PAGE 02
Fort Collins Residential Energy Code the building & zoning dept. Of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
mcndier2xis -7n Was 281 N. Coupe Ave., P.O. Soot 560, Fort Collins, CO 8=
Voids: 970 2219780 FAX, 870 224 6134
Job Address:
General contractor:
Mechanical contractor: Northern Col redo Ai r
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 mutiple 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
Location
Fuel
TVD0
Manuf:ctursr
Model a
Input rapacity
ketuh or kW
AFUE or
HapI:
a. Space cooling system
Location
Fuel
Twe
Manufacturer
Mods) a
input aepwAy
kBWh or kW
89PR
C. Water heating system
Loo4on
Fuel
Tvft
Manufaoturw
Modal a
Input capacity Enardy .
kBtuh or kW Pastor
Stprapa
Certification
Me certify that the above -fisted equipment (including ducts and piping) Was Installed In the building at the above looatlons
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 Certlfyinp Job:
Business Finn: Northern Colorado Air v v
Address: 812 Stockton Ave
Fort Collins, Co Phone: 970-223-8873