HomeMy WebLinkAbout6107 ASHTON CT - DISCLOSURES - 11/10/1998F
ns Residential Energy Code Ae building & zoning dept. of
NICAL DISCLOSURE FORM Community Planning and Environmental Services
mchdi3c2As 7110/se 281 N College Ave, P O Box 560, Fort Collins, CO 80522
Voice 970 221 6760 FAX 970 224 6134
Job Address
General contractor
Mechanical contractor
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 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
A Space heating system
Location
Fuel
Tvna
Manufacturer
Model #
Inputcapacity
kBtuh or kW
AFUEor
HSPF
B Space cooling system
Location
Fuel
Twin
Manufacturer
Model #
Inputcapacity
kBtuh or kW
SEER
C Water heating system
Location
Fuel
Tvnp
Manufacturer
Model #
Inputcapacity
kBtuh or kW
I Energy
Factor
Storage
volume
I AAAOS
S�z "O
OQ�
. yy
t>D 17
Certification
I/We certify that the above -listed equipment (including ducts and piping) was installed in the building at the above locations
in conformance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code, and further, that
such equipment was installed in accordance with manufacturers' instructions
Phone