HomeMy WebLinkAbout3051 Sage Creek Rd - Disclosures - 10/30/2001 (6)Fort Collins residential energy code 7/96
Mechanical systems dis;losure form
Job address:
General contractor:
Mechanical contractor:
Space heating system -
AUG 2 7 2001
Location
BPSIIHM
Fuel
GAS
TVpe
F A
I Manufacturer
M
I odel #
6
Inputcapacity
kBtuh - kW
%fib
I AFUEor
HSPF
D
Space cooling system
Location
Fuel
Tvpe
I Manufacturer
I Model #
Input capacitykBtuh or kW
SEER
GAS
F/A
Water heating system
I I
Location Fuel Type I Manufacturer I Input capacity Energy Storage Model # I kBtuh or kW Factor volume
Certification
IANe 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 FortCollins Residential Energy Code and Mechanical Code, and that it was installed in
accordance with manufacturer's instructions. IANe 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 firmIORTHERN COIJJRADO AIR, INC.Date:
Address. 1823 E hIARMONY 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 homebuyer.
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