HomeMy WebLinkAbout2527 Tucker Ct - Disclosures - 07/31/2002Job address:
General contractor:
Mechanical contractor:
Fort Collins residential energy code 7/96
Mechanical systems disclosure form
C12
NORTHERN COLORADO AIR, INC.
Space heating system`
Location
BPSEMENT
Fuel
GAS
T e
F A
anufacturer
Model #
"KF
input capacity
kBtuh or kW
ilOQ e co
AFUE or
HSPF
...... ......... .
Space. cooling system -
Location
Fuel
Tvpe
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
m aF,
5
C3AS
FAA
'Al_
-
10
Water heating. system
Input capacity Energy Storage
Location Fuel T 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. 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: ROBERT R MILLER Phone: (970) 223-8873
Business firm -NORTHERN COLORADO AIR, INC.Date:
Address; 812 Stockton Ave 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.
mcnb1sc.wb1/SS23 — 6/24/96