HomeMy WebLinkAbout7433 Stonington Ct - Disclosures - 11/13/2003Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
mchdisclAs—7/10/98
Job Address:
General contractor:
the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 221 6760 FAX: 970 224 6134
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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, snake 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.
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Location
Fuel
Type
Manufacturer
Model #
Input capacity
ketuh or kW
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Fuel
Type
I Manufacturer
I Model #
I Input capacity
kBtuh or kW
I SEER
G Water heattn s stem
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Location
Fuel
Type
Manufacturer
Model #
LInput capacity
Btuh or kW
Energy
Factor
Storage
volume
Certffcaibn:..:..:::: ................ ...............................
I/We 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 manufacturerg' instructions.
Person Certifying*Job: :" CIiLL
Signature:
Date:
Business Firm:: MLy ,,,,,�q
Address: l II oa I � f�,,e, lb.. K 410
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