HomeMy WebLinkAbout514 Shadbury Ct - Miscellaneous - 08/16/2000 (3)08/16/2000 07:06 9702239983 NCA PACE 01
de- d6 -1660
Fort Collins residential energy code 7/96
Mechanical systems disclosure form
Job address:
General contractor.
Mechanical contractor:
Space heatingssystem ^ ...
Location
Fuel
T e
Manufacturer
Model a
Input capacity
kiltuh or kW
AFUE or
HSPF
sAsnMIsrr
cgs
e-&,
142S&V�a
Space cooling ,system
on
Fuel
TVDG
Manufacturer
Model 0
Input capacity
k8tuh or kW
SEER
GAS
F/A
.We* heatit:tg;-systsrrr
option
Fuel
e
r
Madel0
Input capacity
kBtuh or kW
Energy
Factor
storage
volume
dertification
Me oar* that the above -listed equipmentwas installed in the building atthe above locations in conformance with the
current requirements of the City of Fan Colins Residential Energy Cada end Machanical Code, and that twas Instated in
accordance with manufacturers 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.
Cartifled by; FCRERT R MT11ZR phone: (970) 223-8873
Business firmMU AIR, IIJC.Data:
Address:1823 E HATC40 Y TO 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 slgnatura,
0 there are multiple systems servirg any function, make multiple entries to describe than.
One copy of this form shag be provided to the Building and Zoning Department at final inspaetion.
One copy of this form %hall ba provided to the homebuyer.