HomeMy WebLinkAbout1032 Argento Dr - Disclosures/Mechanical - 08/27/2003Fort Collins residential energy code 7/96
Mechanical systems disclosure form
Job address:
General contractor.
Mechanical contractor.
Space heating system _ ::....
Location
Fuel
TvDe
Manufacturer
Model #
/00
Input capacity
kBtuh or kW
1 AFUE or
HSPF
Space cooling system
-
Location
Fuel
. T
Manufacturer
• Model #
ire
Input capacity
kBtuh or kW
SEER
J
Water heating system
Location Fuel T Input capacity Energy Storage e Manufacturer Model # kBtuh or kW Factor volume
Certification
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. UWe 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: Robert Miller Phone: 970-223-8873
Business firm: Northern Colorado Air, IncDate:
Address: 1823 E. Harmony Rd. Signature:
Instructions,
This disclosure form is to be signed by the mechanical dontractor 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 shall be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.
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