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HomeMy WebLinkAbout602 Jansen Dr - Disclosures/Mechanical - 10/11/2001Fort Collins Residential Energy Code MECHANICAL DISCLOSURE FORM mchdisc2.xls—7/IGM$ Job Address: 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 M General contractor: Mechanical contractor: NOAn—t Ey i>y�pti_�i3jAjer� . ......................... 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 Type Manufacturer Model # Inputcapacity kBtuh or kW AFUEor HSPF B Space cooling system Location Fuel Type Manufacturer Model # Input capacity kBtuh or kW SEER C. Water heating system Location Fuel Tvnp Manufacturer Model # Input capacity kBtuh or kW I Energy I Factor storage volume t ;Certification IMe 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. CertifyingPerson .. iBusiness Firm: ce/ Date: /6 I/•" w Fort Collins Residential Energy Code •the building A zoning dept. of MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services mchd1'jd9'= l QW 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522 Voice: 970 2216760 FAX: 970 224 6134 Job Address:? General contractor: 1"t�i� � L{ t4, -< T.te , Mechanical contractor: 1 ; 115.501-4 P%nariAJr, INSTkU07iON5 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 Type Manufacturer Model # Input capacity kBtuh or kW AFUE or HSPF i1 a 8. Space cooling; system Location Fuel Type Manufacturer Model # Input capacity kBtuh or kW SEER C. Water heating system Location Fuel Type Manufacturer _ Model-# Input capacity kBtuh-or-kkk I Energy Factor I Storage volume Certification IMe 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: -720RA( e, Signature: Date: Business Flr�:r� A41