HomeMy WebLinkAbout6020 HUNTINGTON HILLS DR - DISCLOSURES - 2/3/2000 (2)res
I energy code 7
Mechanical systems disclosure form
Job address:
General contractor:
Mechanical contractor:
Space heating system
- ----..--_.
Location
-_-- -
Fuel
--------
-- T e
- -- - ----put%Al
Manufacturer
Modell It
Mod
In capa
kput or kW
AFUEor
HSPF
BASEMENT
GAS
F A
.S
Space cooling system
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
-
GAS
F/A
Water heating system
Location
Fuel
Type
Manufacturer
Modet #
Input capacity
kBtuh or kW
Energy
Factor
storage
volume
Certification
-VvVe 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. VWe 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: ROBS R MILLER
Business firm-NORTHEMZ COLORADO AIR,
Address:1823 E HARMONY RD .
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. mchOSCw 1=23—W466