HomeMy WebLinkAbout1514 Carmela Ct - Miscellaneous - 12/04/2000 (3)G %k b5o n
Foil Collins residential energy code 7190
Mechanldal systems disclosure form
Job address: 1 j 1 LA CAS' rn el n
General contractor:
Mechanlcal contractor:
S pate I i e tl l) t i c s' S to tt t ...........::•:::::::::•:;•::::•;:•:;:>::::::::•::::;:::•;:;;•:::::::::•:>:.;::.;:;::•;:;•::•:::•::•::•::•;:.:::• :;•,:•::•;::• ::;::,.:;:•;>:.; :..:.
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Location
Fuel
Type
Manufacturer
Model I!
Inpul capactly
kBluh or kW
Arlie or
IISPF
Space cvolhtg system
�= Location
Fuel I
Type I
Input capacity
Manutoclurar Model N kOluh or kW I SEER
Water heating System°. .
_ __Location
Fuel Type
Manuraclurer
l Model N I
Input capactly
kD[uh or kW I
Energy
Factor
Storage
I volume
Certification
IM/e ccrliry that Ilia above -listed equipment was Installed In lho building at Ilia above locations In conformance with the
cunenl le(juhernenls of the City of Furl Collins Residential Energy Code and Mechanical Code, and that II was Installed In
accordance with manufacturer's Insuuctlons. WVe certify that any ductwork has been Installed In conformance with
Iho cunenl requirements of the City of roil Collins Residential Energy Code and Mechanlcal Code.
Certified by: Phone: qjC) - t•pto l L�Cj C)0
Business firm: Date:
Address: Slgnatur
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1 his disclosure form Is to be signed by Ilia mechanical contractor or representative of the general contractor.
Please lype-or-prim; except-for-ihe signature.
If Ihere are multiple systems serving any function, make multiple entries to describe them.
One copy of [his form shall be provided to the building and Zoning Deparl cent at finul Inspection.
Ong copy of [his fonn shall be provided to the homebuyer. ' "'NI't r 5sn- an•nl