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HomeMy WebLinkAbout1226 Truxtun Dr - Disclosures/Mechanical - 11/02/2005E ollins Resideirtiai energy codethe building St zoning dept. of ANICAL DISCLOSURE FORM Community Planning and Environmental Services nwhdWcajes -7H0/98 281 N. College Ave., P.O. Bca 580, Fort Collins, CO 80522. Voioe: 970 221 67W FAX 970 224 8134 Job Address: General contractor. - Mechanical contractor. INSTRUCTIONS 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. A. Space heating system L ocatlon s� Fuel T Man Ord • Model s Input capadty kl3tuh or kW AFUE or M PF pd 9'0 B. Space cooling system Location Fuel T Manufacturer Model 8 Input capacity kBtuh or kW SEER ova � �_ C. Water heating system Location Fuel T Man Model * Input capacity ft-U or kW Energy . Fa storage volume Certification UWe certify that the above -listed equipment (including ducts and piping) was 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 Certifvina Job- ,M . ` _ 0 Business Firm: W /A,, - IV Date: / /-1- ©,5— Addressed Phone 7 3 3