HomeMy WebLinkAbout4351 GEMSTONE CT - DISCLOSURES - 8/3/1998e8/03/1998 14:20 9702299983 NCA PAGE 01
energy
Job address:
General contractor.
Mechanical contractor.
Space heaung system
Man ctury
Models
[ 1= COPOIC11Y
h or kW
I AFUE or
I "P
Space cooling. systirn.'.
Location
Fuel
T
Manufaeturer
Input capacity
U-A-1 0 kBtuh or kW
SEER
Water heating system
Lae tion
Fuel
Te yp
Input - . capacity - .
Energy
Faster
storage
volume
Certification
LW9 cafe that the above -listed equipment was installed in the bWdAg at the above locations in conformance with the
currant requirements Of the City Of Fort CcQns Residential Energy Code and Mechanical Code, and that it was installed in
accordance with manufacturers Inaftcdons. LNVe certify that any ductwork has been jmdajW in conformance with
the current requirements Of the City of FOR Collins Residential Energy Code and Mechanical Code.
Cer"adby: mbert Miller Phone: 970-223-8873
Business firm: Northern Colorado Air. Incoate:
Address. 1823 E. Harmony Rd. SignatUns:
lnStructj6h3. .. . .....
. .... .... .... .... .. . ..... ..... ....
This dWosura form is to be signed by the mechanical dontrac,ior or reprosentaWs of the general contractor. ............
please "a of Pint areept for the slansture.
If them are murdVIN systems serving any funcftn, make multiple emotes to dftcibe then
O"a copy Of this form shag be provided 20 1110 Building and Zoning Department at Mal inspection.
One COPY of this farm shag be provided to the homebuy*r.
Fort Collins residential energy code 7/96
Insulation disclosure form
Job Address:
General Contractor:
Insulation Contractor: Thermal (
P.O. Box 2
Fort Coilit
970-223-
Insulation
CO 80522
Insulnlicn .,.7
Location
Material(s)
Thickness
Rated Location
R-value (Int/Ext)
�; "FIR
Notes
Flat or vaulted ceilings with
attics above
c
Ceilings with enclosed rafter
cavities
Fame walls and rim/band
joisfs-fo exterior'
c
Frame walls and rim/band
joists -to attic,garage
ase
Framefloor-cantilever
Frame floor -over garage or
crawl space
-
Slab-on-grade(0-12")
i✓
Crawl space walls
Basement walls
Foam sealant
Certification a
a, a ..,
AR
I/We certify that the above listed insulation in the building at the above locations in conformance with the current requirements of the City of Fort Collins
Residential Energy Code, and that it was installed in accordance with the applicable "Insulation Installation Guidelines" published by the City of Fort Collins,
Certified by: Thermal Concepts Insulation Phone: 970-223-7090
Business firm: Thermal Concepts Insulation Date:
Address: 6617 S. College Ave. SignotureZArZ2 _ 4
This disclosure for is to be signed by the insulation contractor or representative of the general contractor.
Please type or print, except for the signature.
If components vary, make multiple entries to describe them.
One copy of this form shntl be provided to the Building and Zoning Deportment at final inspection,
Une copy of Ihis form shall be provided to the home buyer.
y
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