HomeMy WebLinkAbout6802 ANTIGUA DR - DISCLOSURES - 12/10/199812/10/98 10:27 %2970 484 4448 ALLEN PUTHIING Z002
Job address:
General contractor.
Mechanical contractor.
r-ort Coffins residential energy code 7196
Mechanical systems disclosure form
aOO Z AhtigJoi Dr. �- 2$
fl Gom vc ION) CO,
� 1_I.-E4-I P L-U M 6► N U 4F T I N
Space heating
Location
Fuel
T e
Manufacturer
Model 0
Input capacity
kBtuh or kW
AFUE or
HSPF
Space cooling system
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
Water heating system;
Certification
WVe certfy 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 Mth manufacturer's instructions. WVe certify that any ductwork has been installed in conformance with
the cu: rent requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: I lf' Phone: �8 - q$ L(
Business firm: Date:--7—
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 anytunclson, make multiple entries to describe them.
One copy of this form steal be provided to the Bu3omg and Zoning Department at that inspection.
One copy of this form shall be provided to the homebuyer. wt.,c