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HomeMy WebLinkAbout7445 Stonington Ct - Disclosures - 02/10/2004 (4)Fort Collins Residential Energy Code MECHANICAL DISCLOSURE FORM mchdisc2As—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 2216760 FAX: 970 224 6134 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 .................. . Location Fuel T e Manufacturer Model # nput IkBtucaacityh op kW FUE AHSPF r : : B .Space coolln s stem . ... 9 Y . Location Fuel T e Manufacturer Model # Input capacity k or kW SEER -tuh I T © Z d C: Water heatingsystem Location Fuel T e Input capacity Energy Storage Manufacturer Model # kBtuh or kW Factor volume ». ...... ... :::.......................... ...... .... . Certlfic ;.:.:............::...:::., :;.::.....:.: ,.. _apron . ::.::: -:;: :.- :::::::::::::::. ::-.:..::..... ::......::::.::::.::::.: -:; :::::::::::................:.............. I/V11e 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 Certifying Job: Jignature: Business Firm: Address: Date: —l(j _ Oq Phone: '3-L41;,&,—tE-&