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`
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Ei �►i r
t t ��
Gii�iT ;'J
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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