HomeMy WebLinkAbout743 Sitka St - Miscellaneous - 08/17/2000Fort Collins residential energy code 7/96
Mechanical systems disclosure form
Job address: 743 Sitka Street
General contractor: Shepardson Homes Ltd.
Mechanical contractor: Tymar Enterprises
Space heating system
Location
Fuel
TvDe
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSPF
Basement
Gas
Natural
Heil
NTC6075AKB
75,000
80%
Space cooling system
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
I SEER
Water heating system
Location
Fuel
TvDe
Manufacturer
Model #
Inputcapacity
kBtuh or kW
Energy
Factor
Storage
volume
Certification
I/We certify that the above -listed equipment was installed 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. 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: Gary Jurgensmeier Phone: 226-6995
Business firm: Tymar Enterprises Date: 8/17/00
Address: 541 Gardan Dr. #M Signature:
Windsor, CO 80550
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 homebuyer. mcne:c.wbVSS23-624/96