HomeMy WebLinkAbout1532 Sea Wolf Ct - Disclosures - 06/01/2004i
Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM'
mchdise2xis—7nor9s
he building &E
(Community Plannin'
281 N. College Ave., P. °
Voice: 970 2218760 0
oning dept. of
nd Environmental Services
. ox 580, Fort Collins, CO 80522
970 224 6134
Job Address:
General contractor: Len n Q r _
Mechanical contractc r: Qo b,¢c-4s
.:.. �.':.'::. ::' ::':::::.•::.':::...::.......� '.. '..'..'.....'. .'.... t:.'.
INSTRUCTIONS;•:;:'; ::;::::::::;:::::::::::::::'.:::::::::::.::::.....:::::'::..:.......::....................
This disclosure form is t0� be signed by the msch�l rli
. :F.:
I
...
�:.:': : ....... ..::.. �................... ..... . ..i
pontractor or represent
.'. ::.': :': �.... :..
.. ........... . .. '...
i e of the general contractor.
Please type or print, except for the signature.
If there are multiple syst,3ms serving any function, IIn
multiple entries to des
be them.
One copy of this form mast be provided to the Eulo
One copy of this form m.rst be made available 0 th
i
(and Zoning Departmeril
ginai home buyer.
prior to the C.O.
A,..S ace heattn s se ;':........
Input capacity AFUE or
I
Location Fuel TD44
Manufacturer MoL
kBtuh ark S F
B. Space cooling sysiem ..::
i
Input capacity
�o Location Fuel T
' Manufacture M ' If
11 of. kBtuh or kW SEER
C. Water heatin9.
, a stem.... . Y.
..:.:..............
:.".
Location Fuel T �'
a ufacture M
Input capacity Energy Storage
I kBtuh or kW Factor volume
,i
...........................................................:..•: •.......:........t•
........................................................ :.ti tF,:
C C
ertifi ation:................................................. ::t::::..:•::::•
I/We certify that the abov e41sted equipment. !inch;►.,
in conformance with the requirements of the Foil
such equipment was Inshiiled In accordance with
•'
::.::...........:...............:.....:.....
ducts and piping) was i
ris Residential Energy Code
facturers' Instructions.
stalled in the building at the above locations
and Mechanical Code; and further, that
Person Certifying J b:
Date: 4- rO y
Signature: /
Business Firm: ��rl /eRl;.,
Address: jpd IV
n
hone: 8 , -