HomeMy WebLinkAbout1133 Stanton Creek Dr - Miscellaneous - 01/03/2001Fort Collins Residential Energy Code the building (St zoning dept. of
Fort
DISCLOSURE FORM Community Planning and Environmental service
mchd1w2.)dz-7/10M8 281 N. College Ave., P.O. Box 580, Fort Collins, Co 80522
Voice: 970 221 67eo FAX 970 224 6134
Job Address:
General contractor.
Mechanical contractor: ryof
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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 must be provided to the Building and Zoning Department prior to the C.O.
One copy of this form must be made available to the original home buyer.
Space 'heating
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Location
Fuel
De
Manufacturer-
Model 9
Input capacity AFUE or
k8tuh or kW HSPF
'94:9 j24 �L _jipT
Space .cooling Aysterin
Location
0 U4- s, We
Fuel
T6 V0
0
Manufacturer
Model #
Input capacity
kBEuh or kW
SEER
Y
C.W
ofor:healing system
Location Fuel TvDe Manufacturer ILA-A-i = I Input rapacity i Energy I Storag
r KVW I Factor I volume
. . . . . . . . . . . .
Certification.'
IMe certify that the above -listed equipment (Including ducts and piping) was installed In the bullding at the above . locations
in conformance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that
such equipment was Installed In accordance with manufacturers' instructions.
Person Certifying Job:
r
Firm:
Date: /) /_