HomeMy WebLinkAbout6708 Autumn Ridge Dr - Disclosures - 05/20/2003 (3)Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
mchdisc2.)ds—7110/98
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
Job Address: 6P -70S A e Dr.
General contractor. K ` Ir an'
Mechanical contractor {�ovre.k
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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.
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Location
Fuel
Tvoe
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSPF
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VC70
B Space cooling system
Input capacity
Location Fuel T e Manufacturer Model # kBtuh or kW SEER
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Input capacity Energy Storage
Location Fuel TvDe Manufacturer Model # kBtuh or kW Factor volume
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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 manufacturers' instructions.
Person Certifying Job:�� LgrS�,✓
Business Firm:
Address:
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Date: y—/2--ate
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