HomeMy WebLinkAbout1520 Ambrosia Ct - Disclosures - 11/16/2000G %% b,5c) n
Dolt Collins residential energy code 7/96
Mechanical systems disclosure form
Job address: Annlbro-44 eii
General contractor:
Mechanlcal contractor:
Space licit nc::::::::::::::::::..::::.::::.:.:.::::::::::::::::::::::::::::::•::::.::::::::::.:::::::::::...............................
Y.......................................::::..:::::::::::::::.......:•:::::::..........
_ Location Input capacity AFUE or
Fuel Type Manuraclurer Modell( kBlul nSf F
:
Space crioling system :.
Location
I rucl_I
Type
Input capacity
Manufacturer Model 0kBtuh or kW SEER
Water Ileafilig system; ".
Location Input capacity Energy Storage
Fuel Typo I Manufacturer ( Model M I Wtuh or kW I Factor I volume
Certification
INVU certify that the above -listed equlpnnenl was Installed In Ilia building at tile' above Iocallons In conformance will, the
cunenl requlemmrls of Ilia City of Fort Collins Residential Energy Code and Mechanical Code, and Ilia( It was Installed In accordan^_e with manufacturer's Inslucllons. I/We cerUfy that any ductwork has been Installed In conlonnanco with
1110 current requlrements of the City of root Collins ResldenUal Energy Code and Mechanical Code.
Certified by.
Business firm:
Address:
Phone:_
Date:
Slgnatur
I n s l r ii e l l li s `> '>:< >:>s>;:< ? >?;::>::;.:.:-:;;a:•;:; :° : ;::: ;:;;::;:::.:;::; :,.::.:•:: ;>:;;:::::: :
lhls disclosure form Is to be signed by Ilia nnechanlcal contractor or represenlallve of lie general contractor.
Please type or print, except for the slgnalure.
If there are multiple systems serving any function, make nuriliplo entries to descrlbe Ihem.
One copy of this loan shall be provided to Ilia Building and Zoning Department at linul Inspection.
One! copy of Ilds fonn shall be provided to the fnamebuyer.
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