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HomeMy WebLinkAbout6802 NIMITZ DR - DISCLOSURES - 11/12/20091111212009 1514 Smith and Willis HVAC (FAX)3036881811 P 0011002 Fort Collins Residential Energy Code MECHANICAL DISCLOSURE FORM mandtK2Y1e—7110I98 Job Address General contractor Mechanical contractor J Neighborhood & Building Services 281 N College Ave P 0 Box 580 Fort Collins CO 80522 Phone 970 2216760 FAX 970 224 6134 El 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 EEMMEMEUM �1 _� ;___'-�',.I` �,�_- Ei �►i r t t �� Gii�iT ;'J :wi.�L�l!L B Space cooling system �/� E= - C Water heating system Location Fuel Tvoo Manufacturer Model 0 Input capacity kBtuh or kW Energy I Factor Storage volurn 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 11/12/2009 1514 Smith and Willis HVAC (FAX)3036881811 P 0021002 F rtCollins Rssidentlsl Energy Cods ECHANICAL DISCLOSURE FORM me dlec2xl$—7110198 Job Address General contractor Mechanical contractor Neighborhood & Building Services 281 N College Ave P O Box 580 Fort Collins CO 80522 Phone 970 221 6750 FAX 970 224 8134 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 0 One copy of this form must be made available to the onginal home buyer A Space heating system MITAWAVE, NUM RAMNIUMNOTTM '011111 VOW04011", moo B Space cooling system Location Fuel Tvan Manufacturer Model N Input capacity kStuh or kW SEER A0051010 C Water heating system Location Fuel Tvas Manufacturer L Made]/ 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 Residentlal Energy Code and Mechanical Code and further that such equipment was installed In accordance with manufacturers instructions Person Certlfylgg Job `14 l ylc, i (./r 'r0 11IO.1 ' .AAlirllX S :i� Phone