HomeMy WebLinkAbout2802 Sage Creek Rd - Disclosures - 12/18/2002 (2)Fort Collins residential energy code 7/96
Job address:
General contractor:
Mechanical contractor:
Space heating. system
Mechanical systems disclosure form
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Location
BASEMENT
Fuel
GAS
T e
F A
Manufacturer
r
Model #
1 kBtuh oP kWity
AHSPF r
Space cooling system
Location
Fuel
Type
Manufacturer
Model #
Input acity
kBtuh or kW
SEER
GAS
F/A
GAS
F/A
Water. heath s stern -_
Location Energy Strage
Fuel T e Manufacturer Model # Input kBtuh or kacity W Factor 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. IAA/e 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 MILER
Business firm�p COLORADO AIR,
Address: 812 Stockton Ave
Phone: (970) 223-8873
INC .Date:
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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