HomeMy WebLinkAbout7045 Sedgwick Dr - Disclosures - 10/22/2002 (3)N
Eort
Collins Residential Energy Code the building & zoning dept. of
HANICAL DISCLOSURE FORM Community Planning and Environmental Services
mchdiscUs-7110/99 281 N. College Ave,, P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 970 224 6134
Job Address: '7645 [XL
General contractor:
Mechanical contractor: 1 LI&EC w--y Vu�M����,
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. ,pace heating system
Location Fuel T Input capacity AFUE or
e Manufacturer Model # I kBtuh r kW HSPF
B. Space cooling systern..
Location Fuel TvDe Manufacturer Mode Input capacity # kBtuh or kW SEER
C. Water heating system..
Location
Fuel
T e
Manufacturer
f
Model
Input capacity
kBtuh or kW
Energy
Factor
Storage
volume
Certification
I/VNe certify that the above -listed equipment .., . � piping)was .;: , installed itt t
In conformance with the requirements of including ducts and
..
install he building at the above locations
the Fort Collins Residential Energy Code and Mechanical Code; and further, that
such equipment was installed in accordance with manufacturers' Instructions.
Person Certifying Job:
Signature: -
Business Firm:
Date:
Address-
• -Ze,r-.,
Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
mchdise21ds —7/1 OMS 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216780 FAX: 970 224 6134
Job Address: --7oq_S <Sr_1AaLj-, Cv-Ae-
General contractor: /4kon6i m g e, %je
Mechanical contractor: dAMMAJjr,
....... 77.
. ........ .
INSTRUcT10N.S:'...
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. pacie-, ig.-Sy kn--. ......
. . ...... ......... .. . ...... . ....... .... ..... ... ..... ... .
Location
Fuel
Tvpe
Manufacturer
Model 0
Input capacity
kBtuh or kW
AFUE or
HSPF
Ba5amaxin
iUs
Sam Aire
A A&LA
6511) 11
I/Toom-
80 1.
. . .. .........
B. Space c.00lingsy§.t0.M-:-,.
Location
Fuel
TviDe
Manufacturer
Model #
Input capacity
kBtuh or kW
I SEER
. . .............. :.1.1.. 1. . ... .. ... . .. ... ... .... ...... .. . .. .
..... ......... ... .. ......
C.._Wtkter..he:'b4 .. ..... .......
Location
Fuel
TvDe
Manufacturer
Model N
Input capacity
kBtuh or kW
Energy
Factor
Storage
volume
.......... .....
......... . . . ... .. ...
........... .... ........ ....
Certificaflon, . .. ....... . - .. I .......... I ..... .... . . ........ ........... .............
..... ..... ........ ... ..... .. . .........
.......... .
* ....... ....
lMe 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 Residents] Energy Code and Mechanical Code; and further, that
such equipment was installed In accordance with manufacturers! Instructions.
Person Certifying Job:
,qZQA&j �
Signature: Date:
Business Firm: ZAamov- Ame-_40E-N za I c.
of
Address: ajmmu,�&Al 'RL-VZ2 I — A,,- 97a -Z&4a - 0905
ICA AZ)n;Pr-, Phone: 3b3. jkatg - 4831