HomeMy WebLinkAbout4226 MESAVIEW CT - MISCELLANEOUS - 7/14/2000 (2)Fort Collins residential energy code 7/96
Mechanical systems disclosure form
F x 11,c .0 rc
Job address:
General contractor:
Mechanical contractor:
Space heating system
Location
Fuel
T e
Manufacturer
Model #
Inputcapacity
kBtuh or kW
AFUEor
HSPF
BFSEV112U
GAS
F A
:6a
- 7
5
Space cooling system
Location
Fuel
Tyne
I Manufacturer
I Model #
Input capacity
I kBtuh or kW
I SEER
GAS
F/A
Water heating system
Location
Fuel
Tyne
I Manufacturer
I Model #
Input capacity
I kBtuh or kW
Energy
I Factor
Storage
I volume
Certification
INVe 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 Phone: (970) 223-8873
Business firm2NORT=T COLORADO AIR, INC.Date: 42
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. mcnbfc.v IISs7]_6rl"6