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HomeMy WebLinkAbout650 Jansen Dr - Disclosures/Mechanical - 11/01/2001Ca Fort Collins Residential Energy Code MECHANICAL DISCLOSURE FORM mchdiscDMC h0/98 Job Address: the building & zoning dept. of Community Planning and Environmentar Services 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522 Voice: 970 2216760 FAX: 970 224 6134 General contractor: Hexony I-kmg,S Zit Mechanical contractor: (5; lmse � dgzm jr INSTRUCTIbNS 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 # Input capacity kBtuh or kW AFUE or HSPF F" g2se A. 13. Space cooling system Location Fuel Tvpe Manufacturer Model # Input capacity kBtuh or kW SEER C. Water heatingsystem Location Fuel TvDe Manufacturer Model # Input capacity kBtuh or kW Energy Factor Storage volume Certification 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 .. Signature:i/ J / ►� Address: 5 , Fort Cdllins Residential Energy Code the building & Zoning dept. of MECt4WAL DISCLOSURE FORM Community Planning and Environmental Services mchdisclAs-7/10/98 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522 Voice: 970 2216760 FAX: 970 224 6134 Job Address: U1-n �-] lit General contractor: Mechanical contractor: H(jk-LEy ?c_16:MIA& 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 TvDe Manufacturer Model # Input capacity kBtuh or kW AFUE or HSPF B' Space cooling system Location I_ Fuel I_ Tvoe I Manufacturer Model # I Input capacity kBtuh or kW SEER C.;: Watet'. heatingsystem Location Fuel Tvne Manufacturer Model It Input capacity kBtuh or kW Energy Factor Storage volume - !al I AgR - Certification 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:�. Signature:ii Business Firm: Address: 'r //�i • ' • � r 4C..