HomeMy WebLinkAbout6802 ANTIGUA DR - DISCLOSURES - 1/18/1999 (2)01/18/1999 14:31 9702299983 NCA
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Fort Collins residential energy code 7/96
Mechanical systems disclosure form
Job address: �080 2 A>JT i G u AA 5
General contractor: J" A M a __GOK STRU C? t O t i a -
Mechanical contractor. NORTHENI COLORADO AIR,
INC-
Space heating system
Location
Fuel
Tvbw
Manuftcwrer
Model *
Input capacity
k8tuh or kW
AFUE or
HSPF
BASPWU
GAS
F A
Space cooling system
Location
Fuel
a
Manutacturar
Model N
Input capacity
k tuh or kW
SEER
r-As
TVA
GAS
F/A
Water heating system
Location
Fuel
TvDe
Manufacturer
Model 0
Input capacity
k8tuh or kW
Energy
Factor
Storage
volume
Certification
INVe certify that the above.listed equipmentwas installed in" 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. UW* ced yr 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: WEIM R f LLLER Phone: (970) 223-8873
Business firm: w COLOR= AIR, INC -Date;
Address:1823 E 1044t-Y 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 tunedon, 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 Corm shall be provided to the homebuyer. mc.r.ri�ra_ Vt�