HomeMy WebLinkAbout1408 Snipe Ln - Miscellaneous - 04/12/2001E
llins Residential Energy Code tide building & zoning dept, of
ANICAL DISCLOSURE FOR,N Community Planning and Environmental Services
.roanGlsc2xfs-711a/9a 281 N. Cnilege Ave., P.0_ Eox Sao. Fort CaNins, CO 80522
/nice: 9 i 0 221 5760 FAX: 970 24 6134
Job Address: I y Q (3 S �1�C L
General contractor: Ci i 1
Mechanical contractor: 1.�5 , (�. .Tptt-
1N57R1G.1DS
This disclosure form is to be signed by the m:+echanicai contractor or representative of the general contractor.
Please type or print, except for the signature. -
if there are muitiple systems serving any funUdon, make multiple entries to describe them.
One copy of this form must be provided to th,re Building and Zoning Department prior to the C,O.
One copy of this form must be made available to the original home buyer.
....
A S;alce heating system:
Location
''
Fuel f 1" a Manufacturer
Madei #
1 Input capacity AFUE or
katuh or kW IiSPF
o-, - rLC ek,
joo
Oo D 0
f
I l
j
..
B 5pa�e co'�oling sjfstem...
Location
Fuel
CyPe
Manufacturer
Mode! #
Input capacity
kBtuh or kW
(SEER
C .Water.hiia.. ... ystern< '>
Pk4�L& fr
Ln oco&
Fuel
a
Manufacturer
Input capacity
Model it k8tuh or kW
Energy storage
Faetor volume
Der t"t>iCafiOri
I/We certify that the above -listed equipment Qncluoing 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 Certifying Job:y�Ii�Q Ul/f.tZa�Oi�'
Date:
Z D/
Business Firm:
Address:, 31,5� W 4lN x.. L &
Phone: 4'7D- 7 R7-77) r�