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HomeMy WebLinkAbout3051 Sage Creek Rd - Miscellaneous - 07/31/2001 (20)Fort Collins residential energy code 7/96 Mechanical systems disclosure form JUN 2 6 2001 Job address: ©S _ General contractor: Mechanical contractor: NORTHERN COLD AIR, INC. Space heating system Location I Fuel I Type I Manufacturer ( Model # I Inp kBtuh oP kw I AFUE or BASEMENT GAS F A HSPF s /(, Space cooling system Location Fuel T e Manufacturer Model # Input capacity kBtuh or kW SEER ('AS F/A Water heatingsystem Location I Fuel T e Inputcapacity Energy Storage Manufacturer Model # kBtuh or kW Factor volume Certification IM(e 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 MILLER Business firm. COLORADO AIR, Address:1823 E HARMnNY RT) 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. mcntlbc. 1=23 — 624M