HomeMy WebLinkAbout3051 Sage Creek Rd - Miscellaneous - 07/31/2001 (17)Fort Collins residential energy code 7/96
Mechanical systems disclipioure form JUN 2 5 2001
Job address: b �—
General contractor:
Mechanical contractor: NORTHERN COLORADO AIR, INC.
Space heating system
Location
Fuel
Type
Manufacturer
Model #
Input capacity
k8tuh or kW
AFUE or
HSPF
BASEMENT
GAS
F A
G
O
Space cooling system
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
CAR
P/A
GAS
F/A
Water heating system
!0
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
Energy
Factor
Storage
volume
Certification
VWe 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 MI= Phone: (970) 223-8873
Business firmT1OgTHEg; COLORADO AIR, INC.Date:
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 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. MMdueIM23-6Q4/96