HomeMy WebLinkAbout915 PINNACLE PL - MISCELLANEOUS - 1/20/2000rurt t.umns resioentlal energy code 7/96
Mechanical systems disclosure fn
Job address:
General contractor:
Mechanical contractor:
Space heating system:
Location
BASEMEIvP
Fuel
GAS
I T e
F/A
Input capacity
Manufacturer Model # k8tuh or kW
/-n /0 /(TT� lJU�
AFUE or
HSPF
Space cooling system
Location
Fuel
T e
Manufacturer
Model
Input capacity
I kBtuh or kW
SEER
GAS
F/A
Water heafin ;s stem "
Input capacity Energy Storage
Location Fuel Type Manufacturer Model f k8tuh or kW Factor volume
............ ....... ...... .. .
Cectlfication
INVe certify that the above -listed ecuiomentwas instailedin the -building atthe -abcve-locations In confofmancLvvith 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: ROB= R MT= Phone: (970) 223-8873
Business firm.NORTf f COLOFADO AIR, INC .Date:
Address:1823 E HAFMONY RD Signature: ,>
lnstrnctions >:.
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 shall be provided to the Building and Zoning Department atfinal inspection.
One copy of this form shall be provided to the homebuyer..e.w, ssz�-muse