HomeMy WebLinkAbout4303 Mesaview Ln - Miscellaneous - 01/01/200011/19/1999 10:52 9702299983
HCA
Fort Collins residential energy code 7/96
Mechanical systems disclosure form
PAGE 01
Job address: a
General contractor. ( �'I lA WJ 11"
Mechanical contractor. N0RTF3FUW COLORADO AIR, INC.
(r ,D
spat, heating system U I� t_�.;)%):::.
Location
BASEMENT
Fuel
GAS
T a
F A
Manufacturer
Modal
y�
Inputcapacity
k8tuh r kW
AFUEor
HSPF
Space. cooling system
oeatton
Fuel
Type
M tutor
Models
Input capacity
kStuh or kW
SEER
GAS
F/A
............... .... .
Water heating system:
Location Fuel T Input capacity Energy Storage
Manufacturer Modal s kBtuh or kW Factor volume
C ertlflcaflon
IfWe cerlilythat the above4sted equipment wad Installed in the building at the above locations in conformance with the
current requirements of the City of Fart Collins Residential Energy Code and Mechanical Code, and that it was installed in
accordance with manufacturers instructions. INVe 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: ROOM R MILLER phone: (970) 223-8873
Business ftrmlpgi� OpMft ATR, IM-Date: �_
Address:1823 E HARNDNY RD Signature:
Instnrctlons
This disclosure farm 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 at final inspection.
One copy of this farm shall be provided to the homebuyer.
luaR
Nov-19-99 11:46A
Fort Collins residenfial energy code 7/96
Insulation disclosure form
Job Address: 4au3 Mlwey1Yet Low
P.O1
General Contractor, yeti>fMMI1111w,r„a, _
Insulation Contractor: Thermal Concepts Insulation T
PO. Box 270066
Fort Collins CO 80522
970-223-7690
Fqw—
Location
Material(s)
Thickness
Rated
R-value
Location
(Int/Ext)
Notes
flat orvauhed ceilings with
allics above
VbM
38
be Inec=18%
__-,
Ceilings with enclosed rafter
cavities
Kmd FG Bale
_
_
" �
Rome wogs and rim/band
joisk-to exterior
F
1.12r*'t.
N
Frame walls and rim/band
joists -to ottic,gorage
�,�
OWMAISR-,
r
Frame floor-contitever
d •.
Frame floor -over goroge or
crawl space`s"
AUA.-.-
Slab -on -grade fo-12')
Crawl space walls
MA
Basement walls
�Afw(FaraA FP. tilasstm�
Foom sealant
FOB
I/Wn ceAify Ihol the above listed insulation in the building at the above locations in conformance with the current requirements of the City of Foa Collins
Residential Energy Code, and thni it was installed in accordance with the opplicobin ^Insulalion Installation Guidelines" published by the City of Forl Collins.
Certified by: Thermal Concepts Insulation
Business firm: Thermal Concepts Insulation
Address: 6617 S. College Ave.
Phone: 970-223-7090
Date:
Signature: _"
This disclosure for is to be signed by the insulation conHactor or representnlive of tIM general contractor.
Please type or print, except for the signature.
If components von/, make mulliple entries to describe thorn.
One COPY Of this Form shall be prrwided to the Building and Zoning n..pnrtmenl al Iina1 inspection.
One Copy of this form shall be provided 10 the home buyer.