HomeMy WebLinkAbout6714 ANTIGUA DR - DISCLOSURES - 6/14/1999 (18)01/18/1999 14:31 9702299983 NCA
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Fort Collins residential energy code 7196
Mechanical systems disclosure form
Job address: &-I I `T AtIT I C3„yAoR.�M
General contractor: _ ,TAME,5 _ GoNSTKUr- i I D N d-
Mechanical contractor. NOS C010Ri1l7O AIR• -
Space heating system
Location
Fuel
TVbw
Manufacturer
Model *
Input capacity
k8tuh or kW
AFUE or
HSPF
gmm
GAS
F A
Space cooling system
Location
Full
Two
Man rer
Model tti
Input capacity
k tuh or kW
SEER
GAS
F/A
Water heating system
Location
Fuel
T
Manufacturer
Model *
Input capacity
k8tuh or kW
Energy
Factor
Storage
volume
Certification
INVe cemy that the above -listed equipmentwas installed in the budding at the above locations in conformance with the
current requirements of the City of Fort Coffins Residential Energy Code and Mechanical Code, and that it was installed in
accordance with manufacturers instructions. UWe certiy 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: RCBM R MILLER Phone: (970) 223-8873
Business ftrmNQM=j COLOR= AIR, INC.Date• - 9
Address:1823 E HARMONY M 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 Budding and Zoning Department at lines Inspection.
0ne copy of this form shall be provided to the homebuyer.��,�_