HomeMy WebLinkAbout5043 Snow Mesa Dr - Miscellaneous - 01/01/2000Fort Collins residential energy code 7/96
1 Mechanical systems disclosure form (I1U`l I
Job address:
General contractor:
Mechanical contractor:
Space heating system
Location
I Fuel
I Type I
Manufacturer
Model #
Input capacity
I kBtuh or kW
AFUE or
HSPF
BASEMENT
GAS
F A
IUQ
Space cooling system
Location
I Fuel
Type
I Manufacturer I
Model #
Input capacity
kBtuh or kW
SEER
GAS
F/A
Water heating system
Location I
Fuel I
Type I
Manufacturer I
Model #
Input capacity
I kBtuh or kW
Energy
Factor
Storage
volume
i
Certification
!Mqe c—tifyihat-the-above-listed equipment was-instafled 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 R MILLER Phone: (970) 223-8873
Business firmNORI=, COLOFADO AIR, INC.Date:
Address:1823 E HARMONY RD Signature:
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 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 hcmebuyer.
mcn*ze w IISS23-6!1<.56
Job Address:
Fort Collins residential energy code 7/96 ow
disclosure form
5043 snow Mesa
General Contractor:
Insulation Contractor: Thermal Concepts Insulation
PO. BoxFort Collins, CO 80522
I/We certify that the above listedinsulationin the Duuaing-m uin U.- ,------•._ ... __.
Residential Energy Code, and that it was installed in accordance with the opplicable "Insulation installation ^Guidelines" published -by -the uty or ron wU
Certified by: Thermal Concepts Insulation
Phone: 970-223-7090
Date:
Business firm: Thermal Concepts Insulation '
Address: 6617 S. College Ave. Signature:
This disclosure for is to be signed by the insulation contractor or representative of the general contractor.
Please type or print, except for the signature.
If components vary, 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 home buyer.