HomeMy WebLinkAbout1900 Mackenzie Ct - Disclosures/Mechanical - 12/30/1999Fort Collins residential energy code 7/96
Mechanical systems disclosure form
Job address:
General contractor.
Mechanical contractor.
Space heating system
Location
Fuel
Tvoe
Manufacturer
Model #
Inputcapacity
kBtuh or kW
AFUEor
I HSPF
Space cooling system
Location
Fuel
. TvDe
Manufacturer
Model At
Input capacity
kRtuh or kW
SEER
Water heating system
Location
Fuel
Tvoe
Manufacturer
Model #
Input capacity
k8tuh or kW
Energy
I Factor
Storage
I 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 Cade and,Mechanical Code, and that it was installed in -
accordance with manufacturer's instructions. I/We certify that any ductwork has been installed in conformahce wit4.h
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, Inrflate:
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. ,mamwrrssa-vz'.ve