HomeMy WebLinkAbout420 PEYTON DR - DISCLOSURES - 7/24/2003 (4)Port Collitis Residential Energy Code
MtbHANICAL' DISCLOSURE .CORM
mchdise2ids—7110/98
Job Address:
General contractor:
the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 970 224 6134
Mechanical contractor: I-it�Nt1 �..� Puy"g1,Jca
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1NST�UC'tIO.NS'::.....:... ...... .. .
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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.
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A;; ;SpaC : Fte�ting SVS em ... - ............... .
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Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBluh or kW
AFUE or
I HSPF
B, S:13`acl✓ c.00llh s tem
p .:.... J ..Y... :.. . ... .
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
.....................................I.:............
C.;Wa er healing sysein
Location
Fuel
Type
Manufacturer
Model #
Input capacity
k8tuh or kW
Energy
Factor
Storage
I volume
GAS
c4: 1f %-d
A to Sm an
F
SO JC7
:di:. c.
#� Leh:`
I/V.VW*beFtI... that' the above -listed
equipment .includ ... .• . •s in .du......
�q p (including ducts and piping) was installed in the building at the above locations
In coh♦•brmahc'e with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that
s11ch 'edUiptient was installed in accordance with manufacturers' instructions.
Ij6hSbrt Cbt1Ifying'Job: Be1a"I_ , �/
SllIgh 1t' t _ Date: 7-04-6 3
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