HomeMy WebLinkAbout6802 ANTIGUA DR - DISCLOSURES - 1/18/1999 (6)01/18/19139 14:31 9702299983 NCA
PAGE 01
)rt cowns resiaennal energy col
Mechanical systems disclosure
Jobaddress: 60o 2 A!JJ t Cjy A 0S, M Q.7
General contractor: ,7"AM G014STIZ.UC-110n4 a,
Mechanical contractor: N0 COECRAD0 AIR, UU-
Space heating system
Location
Fuel
Tybe
Manufacturer
Model *
Input capacity
kHtuh or kW
AFUE or
HSPF
BASEM NP
GAS
F A
Space cooling system
Location
Fuel
a
Manufacturer
Modal 0
Input capacity
k tuh or kW
SEER
GAS
F/A
Water heating system
Location
Fuel
Tvm
Manufacturer
Model d
Input capacity
k5tuh or kW
Energy
Factor
Storage
volume
Certification
I/We certifythatthe abovedisted equipmentwas installed in the budding atthe 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. WYe 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: FOEIM It MILLER
Business firm:T 00L0P0 AIR,
Address:1823 E HAY RD
Phone: (970) 223-8873
IlVC.DaM:
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.
mt ".01me" - iQ&SO