HomeMy WebLinkAbout438 HUDSON CT - DISCLOSURES - 6/8/1998residential energy
Job address:
General contractor:
Mechanical contractor:
K
..:..,,:.: ,... :•... .....::::.:..:..
Space;heatm9 sY ..... .. ....•:.... ..............:.......::.....:.:...... •;;::;,.:;::::;:..::..
Location
Fuel
L Type
Manufacturer
Model #
Input capacity I
kBtuh or kW
AFUEor
I HSPF .
Space cooling system ..:.:.:` .
Location
Fuel
Tvae
Manufacturer
Model #
Input capacity
kBtuh or kW I
SEER
Water heating
Location
Fuel
TvDe
Manufacturer
Model #
Input capacity
kBtuh or kW
Energy
Factor
Storage
volume
:. •..
Certification.... ...... ::.:::..: ................ •;:.; :•;: •.........••:
IIWe certify that the above -listed equipment was Installed in the building at the above locations In conformance with the
current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code, and that it was installed In
accordance with manufacturer's instructions. I/We certify that any ductwork has been installed in conformance with
the current requirements of the City of/Fort Collins Residential Energy Code and Mechanical Code.
Certified by: l7 .�li� Phone:
Busines's firm: ' oQ Date:
Address: 116.115&alWN Signature: /
This I. 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 shall be provided to the Building and Zoning Department at final Inspection.
One copy of this form shall be provided to the homebuyer. W aMWMM-mm
Collins
Job address:
General contractor:
Mechanical contractor:
energy code
disclosure fo
.... ...........:::........... .
Space heatn s stem
g . Y ...... .
Location
Fuel
T e
Manufacturer
Model #
Inputcapacity
kBtuh or kW I
AFUEor
HSPF
Space cooling system ..
Location
Fuel
Tvoe
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
Water heating system.. ..
Location
Fuel
T e
Manufacturer
Model
Input capacity
katuh or kW
Energy
Factgr
Storage
volume
5@ M�pli
R f ur`
u 1 I
00
40
I/We certify that the above -listed equipment was installed in the building at the above locations in conformance with the
current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code, and that it was installed in
accordance with manufacturer's instructions. I/We certify that any ductwork has been installed in conformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: �6Cr((k-l'ffz6t04c1>
Businessfirm: ffi&kAY ►OM
Address:
Phone: o7o�d�
Date:
Signature: 1�
..............................................
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 shall be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.
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