HomeMy WebLinkAbout6802 ANTIGUA DR - DISCLOSURES - 12/10/1998 (6)12/10/98 10:27 %2970 484 4448 ALLEN PUTUING
0002
Fort Collins residential energy code 7196
Mechanical systems disclosure form
Job address: (Od Z Av►+i 0a Dr.
General contractor: A Co N c I O N C O,
Mechanical contractor: A I._.L,-s.n( PL.0 M131 N ca 4F,+TI W
Space heating system
Location
Fuel
Type--
Manufacturer
Model #
Input capacity
k8tuh or kW
AFUE or
HSPF
Space cooling system
Location
Fuel
T e
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
Water heating'system
Certification -.
UWe ci: t . that the above -listed equipment was installed in the building at the above IocationS 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 with manufacturer's instructions. I/We certify that any ductwork has been installed in conformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: CC) rl lf) Phone: 14c3 4 — qj f
Business firm: R UL'ev. 7P -% t-1 Date:
Address_ 161 - _ I _r.. r m
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 steal be provided to the Bing and Zoning Department at &W inspection.
One copy o' this form shag be provided to the homebvyer. W14-w.fS s�-ptu.c