HomeMy WebLinkAbout3317 SHALLOW POND DR - DISCLOSURES - 6/24/2004 (2)Fort Collins residential energy code 7/96
Mechanical systems disclosure form
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General contractor: �rOn-b�oaf( AIO/Y1�S, Si�C
Mechanical contractor. G lJ STO/» N UAG
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Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSPF
Be) ATr
N.6-
r.4.
EMj067' P-
NT44olZEKJ61
IZS K 64uh
IWO.O
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Location
Fuel
T pe
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
sMT
e l ect;
TE70574 r
T L A N.64KA4
I 5 7W
/D
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Location
Fuel
Type
I
1 Manufacturer
I Model #
I Input capacity
kBtuh or kW
I Energy
Factor
I Storage
volume
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'.Certification
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I/We certify 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 with manufacturer's instructions. IlWe certify that any ductwork has been installed in conformance with
the current requirements of the City of Fgrt Collins Residential Energy Code and Mechanical. Code.
Certified by.,4 w Phone: 970. &lp7. %O/S
Business firm. j0'VD Date. Z� D
Address:R6 Z4zS. GO Signature:
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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 shalt be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer. ffx,,a.a..a1r523-W406