HomeMy WebLinkAbout1109 Town Center Ct - Disclosures/Mechanical - 03/19/2007Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
"ci�sct'ds-�noiea 281 M Coiege Ave., P_O. Box 580. Fort Coitus, CO 60=
Void 97O 221.6760 FAY4 970 224 6134
Job Address:
General contractor. ��C) -417` _
Mechanical contractor: i' u SAD&L ri EA `i- I AfC. -4 AIR
This disdosure form is to be signed by the medmNcal contractor or representative of the general contractor. - _ —
Please type or print, except for the signature.
If there are mutbipis 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.
Location Fuel
T
Manafactmw
Model#
fnPutcaPacity
Mutt or kw
AFUEcr
HSPF
(S.4
CC-D
/Y) P
-t9 in PD
I
G 411 :o As
SSE`
iV4A2 P
ZS-OO t7
D�a
-.. _,,._-_-----, •-. •:-__-:::--. --:__- _ :,.___�,W Wes• _ �:__:_-.._::-_--:.::--_.—.:--�-:_—..___: ----,...-•-•---�. �=-__.-_ ::--:�:_.�•:_--�:-:_:^_:.:-::::
Location
Fuel
Twe
Manufacrmrer
Model #
Input capacity
kBtnh or kW
SEER
N
fa,l/
/ 3
=� �.._. ester ._e��t��g�}(s�i�_ ==� :=�� _.�.. = - '._...__�==—:.__� ,•:-�==� =�_=-.:�:-�:;:= � = =;�-_:
Laeation
Fuel
Tinie
Manufactnmr
M m a
faputeapadty
kHhth or kW
Energy
Factor
Storage
volume
I/VIIe certify tttiat the above -listed equipment (inducting duds arrd piping) was installed in the btr'kHrtg at the above location
in conformance with the requirements of the Fort Coffins Residential Energy Code and Medwdcai Code; and further, that
such equipment was installed In accordance mM manufacturers! fnstrucfions_
Person Certifying Job: - AL I t« L L) E
Signature: -17-)A-XC � i Date: 1 9 Business Firm: CaA.S-'D vI N EEA- 1 A%G + At X ' ALA :U r AFC' T ^/r
Address: -5:U S )V ,[-/ A/ X L Al _ - U U r r ,4
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