HomeMy WebLinkAbout6714 ANTIGUA DR - DISCLOSURES - 6/14/199901/18/1999 14:31 9702299983 NCA
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Fort Collins residential energy code 7/96
Mechanical systems disclosure form
Job address: 16 r 14 A*IT IQ u A p& �M 4-1
General contractor- ,y'AME,5 _ CoNSTfzUr-itON o_
Mechanical contractor. NCTUIMM1 C01CRADO 1'R.
Space heating system
Location
Fuel
TWIG
ManufActurer
Model P
Input capacity
k tuh or kW
AFUE or
HSPF
B1T
w
F A
Space cooling system
Loatlon
Fuel
TVDO
Manufacturer
Model S
Input capacity
k tuh r kW
SEER
GAS
F/A
Water heating system
Location
Fuel
Twome
Manufacturer
Model P
Input capacity
k8tuh or kW
Energy
Factor
Storage
volume
Certification
UWe ceftiy that the above -Bated equipment was installed in the budding 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 manufacturers instructions. WYe cer#N 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: PDi3= R Ml= Phone: (970) 223-8873
Business firm a CaLORADO AIR, INC.Date- �I QI
Address:1823 E HAF M 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 funadon, make multiple entries to descrlbe them.
one copy of this form shag be provided to the Building and Zoning Department at final inspection.
One copy of this form *halt be provided to the homebuyer. mw.e%alAwn_Non