HomeMy WebLinkAbout4214 Cedargate Dr - Disclosures/Mechanical - 09/30/1998Fof:::ollins residential energy code
disclosure form
0
Job address: 4214 CedarGate RD.
General contractor: WoodCraft Homes
Mechanical contractor. Golden Eagle, Plumbing Service
Space heating system
_ Location
Fuel
Type
I Manufacturer
I Model #
Input capacity
I kBtuh or kW
AFUE or
I HSPF
Basement
N G
1UDf`1QW
I RNFFM
IR G aziliA
17 C
TR
Space cooling system . ,.
Location
Fuel
Type
I Manufacturer
I Mode(#
Input capacity
I ,Btuh or kW
I SEER
Water heating system
Location
Fuel
Type
I Manufacturer
I Model #
Input capacity
I kBtuh or kW
Energy
I Factor-1
Storage
volume_
Basement
N
2 vviY. �etiYrs
I /
I'lT� t{Q
i i�
Certification
IiWe certify that the above -listed equipment was installed in the building at the above locations in conformance with the
current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code, and that it was installed in
accordance with manufacturers instructions. IUWe certify that any ductwork has been installed in conformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: ubLrje! Lri�o.c 5
Business firm: Wood raf Homes
Address:3665 JFK Pkwy Bldg.1
Ste. 3
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 shall be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.
Phone: 225-2232
Date: % Q
Signature:
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