HomeMy WebLinkAbout615 PRICHETT CT - DISCLOSURES - 6/4/2002 (4)Er
Collins Residential Energy Code the building A zoning dept. of
CHANICAL DISCLOSURE FORM Community Planning and Environmental Services
mchdlsc2.xls—7/10/98 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 970 224 6134
Job Address: S ��CIE
General contractor:
Mechanical contractor:,)
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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 #
kBtuh or kW Input capacity
E or
LHSPF
o
:B Space cooping system: .
Location Input capacity
Fuel T e Manufacturer Model # kBtuh or kW SEER
G....IN"btreatin s stelrn:
g.. Y
Location Input capacity Energy Storage
Fuel T e Manufacturer Model # kBtuh or kW I Factor volume
;�+rt�fdtlOfl.....
including ducts and piping) was installed in the building at the above locations
I/We certify that the above -listed equipment
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:
nature:
Firm:
Date:
Phone: