HomeMy WebLinkAbout815 Napa Valley Dr - Miscellaneous - 09/13/200041
Fort Collins residential energy code 7/96
Mechan;cal systems disclosure form
Job address: of/,�- ,44QL
General contractor: e,64Z!2
Mechanical contractor: NORTHERN COLORADO AIR, INC.
..............
Space.heating system
Location-
BASEMENT
I cud-
GAS
I To e
F A
I manufacturer
I-
Modef#
Input capacity
kBtuh or kW
AFUE or
HSPF
Space cooling system
Location
Fuel
Tvpe
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
GAS
F/A
GAS
F/A
Waterheating system
Location Fuel T In put capacity Energy Storage e Manufacturer Model # kBtuh or kW Factor volume
Certification
UWe 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. 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 MTTJ.F.R Phone: (970) 223-8873
Business firmZjQg]aUgL; COLORADO AIR, INC.Date:
Address:1823 E HARMONY RD Signature:
InstrLLotiGn
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. m&4se.wb1/ss23_Gn446