HomeMy WebLinkAbout1439 CATALPA CT - DISCLOSURES - 10/14/2002Fort Collins residential energy code 7/96
Mechanical systems disclosure form
Job address:
General contractor:
Mechanical contractor:
Space heating.system
e
.
Space cooling system
..................
Water heatrng system:
Input capacity
I
Energy
I
Storage
Model #
kBtuh or kW
Factor
I volume
C2 c 2 Y tyJ�
A
i
Spa �►1,
V `
ifL Q 2 N
`i 0 •/
.Certification,::'.',,
If— cerary tnat the above -listed equipment was installed in the building at the ?hove 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 R MILLER phone: (970) 223-8873
Business firm �p COLORADO AIR, INC.Date:
Address; g12 Stockton Ave Signature:
Instructions
This disclosure form is to be signed by the mechanical contractor or representative of the Please type or print, except for the signature. general contractor.
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.
mohm9c.wb1/SS23 — 6/24196