HomeMy WebLinkAbout6802 ANTIGUA DR - DISCLOSURES - 12/10/1998 (4)12/10/98 10:27
12970 484 4448
ALLEN PLUI[B I NG
Z002
7, 3469
Job address:
General contractor.
Mechanical contractor.
Space heating system_
Fort Collins rl
Mechanical
ential energy code 7196
tems disclosure form
680 Z Antivot Dr.
A CON QCTIo1J CO.
A P L_ U M 91 N U +I F,4T I N U
Location
Fuel
Type
Manufacturer
Model a
Input capacity
kBtuh or kW
AFUE or
HSPF
Space cooling system -
Location
Fuel
Type
Manufacturer
Model 0
Input capacity
kBtuh or kW
SEER
Water heating*system;
Location
Fuel
.c.
Type
w
Manufacturer
ii .Q•. rw�
Model #
-1-- 0
Input capacity
kBtuh or kW
00O
Energy
Factor
..�. a
Storage
volume
6 c
Certification
I/We certry ;hat 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 lode and Mechanical Code, and that it was installed in
accordance %%ith manufacturer's instructions. I/We certify that arty ductwork has been installed in conformance with
the current requirements of the City of Fort Colin Residential Energy Code and Mechanical Code.
Certified by: T)kG I _1 (-0-rI y) Phone: L8 it - qa
Business firm: A L Le,, }�, �1 Date:
Address: 161 < _ 1 _t., l a.� 34pvOu :
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 muttiple systems serving any function, make multiple entries to describe them.
One copy of this form " be provided to the Bing and Zoning Department at tktat inspection.
One copy ofthis form shall be provided to the homebuyer. a..6,. vN%