HomeMy WebLinkAbout1215 Town Center Dr - Disclosures/Mechanical - 10/13/2006Fort Residential Energy Code the buildingA zoning dept. of
CollinsI Fort
oIr EMECHANICAL DISCLOSURE -FORM Community Planning and Environmenfal Services
2111 K College Ave.. P.O. Box SBC, Fort CAm. CO 80522
Voice: 970 2216760 FAX, 970 224 6
Job Address: 157 to C.0 N"" CC- /t/ rE 1LA-SCAA1
General contractor. ZO H AJ Lsi A I- 'Z --
Mechanical contractor. CUSAD PA OEATIA(G -4 AiRl
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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.
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Location
Fuel
Type
Manufacturer
Model A
Input capacity
kBtuh or kW
AFUE or
HSPF
S
r0ACQ- D 4-1 e-
PS+49-
&
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n
Fuel
Tvpe
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
�LgE=
r-
k)0ea-:D 111R
Q�5549
-rQ A/
:5
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Location
Fuel
Type
Manufacturer
Model #
Inputcapacity
kBtuh or kW
I Energy
Factor
I storage
I volume
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I/We certify t4at the above -Listed equipment (mcludling ducts and pip, installed in the building 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:
Elm
Date: /0
Business Firm- LW --A DRAG + AUC 0-nd Lol It 011 ACK-, -TAJ(-
Address: :2) 95 W 41 A/,K J-W .- LAXIT A
'Pt On I I I A/-< &D K'o 5an '/ Phone: c7w)
Z-d 9e99 91,t7 OZ6 2i302tjva=m ]MIN c]17Z:Z0 90 ei, 100