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HomeMy WebLinkAbout2620 Pleasant Valley Rd - Miscellaneous - 11/21/1997Fort Collins residential energy code 7/96 Insulation disclosure form Job Address: 2602 P1tras=t Valley Rd, General Contractor: Shepu4son Haves Insulation Contractor: Thermal Concepts Insulation P.O. Box 270066 Fort Collins, CO 80522 970-223-7090 BSR I/We certify that the above listed insulation in the building at the above locations in conformance with the current requirements of the City of Fort Collins Residential Energy Code, and that it was installed in accordance with the applicable "Insulation Installation Guidelines" published by the City of Fort Collins. Certified by: Thermal Concepts Insulation Phone: 970-223-7090 Business firm: Thermal Concepts Insulation Date: Address: 6617 S. College Ave. Signature: This disclosure for is to be signed by the insulation contractor or representative of the general contractor. Please type or print, except for the signature. If components vary, 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 home buyer. Fort Collins residential energy code 7/96 Mechanical systems disclosure form . I Job address: General contractor. Mechanical contractor Space heating system _. Location Fuel Type F I H Manufacturer Model # Input capacity kBtuh or kW AFUE or HSPF— Space cooling system Location Fuel . T e Manufacturer Model # Input capacity kBtuh or kW SEER Water heating system Location Fuel Type Manufacturer Model # Inputcapacity kStuh or kW Energy Factor Storage volume Certification IIWe 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. 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. Certified by: Robert Miller Phone: 970-223-8873 Business firm: Northern Colorado Air, IncDate: Address: 1823 E. Harmony 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 thisform-shall-be-provided to the Building and Zoning Department at -final inspection. One copy of this form shall be provided to the homebuyer, mdns9c..o1/ss23-&24M