HomeMy WebLinkAbout3051 Sage Creek Rd - Miscellaneous - 07/31/2001Fort Cdllins residential energy code 7/96
Mechanical systems disainsura fnvm
Job address:
General contractor:
Mechanical contractor:
Space heating system
MAY 2 9 1001
Location
BASEMENT
Fuel
GAS
T e
F A
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
-/7
PEGAS
F/A
Water heating system
Location
Fuel
Tvpe
Manufacturer
Model #
In put capacity
kBtuh or kW
Energy
Factor 1
Storage
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 MTra,FR Phone: (970) 223-8873
Business firm-MRT=j COLORADO AIR, INC Date-'
Address:1823 E HARMONY F Signature:, -_ 'r jam, ?li
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. mmex..,vssza-sauna