HomeMy WebLinkAbout420 HUDSON CT - DISCLOSURES - 7/27/1999 (3)Fort Collins residential energy code 7196 I
Mer_hanical systemform
s disclosure fo
Job address:
General contractor:
Mechanical contractor:
Location
Fuel
ee Manufacturer Model #
Input capacity I AFUE or
kBtuh or kW I HSPF
Space;cooling, system. .
Input capacity
IWatdr heating system .... ............... .. ...........
Input capacity I Energy I Storage
IMJe certify that the above -fisted 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. IIW a 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
Business f
Phone; CC,*— lee-033B
Date:
gnature•
C
. ;lnstructiohs.....
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 theta are multiple systems serving any function, make multiple entries to describe them.
One copy of this form shall be provided to the Building and Zoning Department at final Inspection.
One copy of this form shall be provided to the homebuyer.
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Fort Collins residential energy code 7196
anical systems disclosure
Job address:
General contractor:
Mechanical contractor:
Space cooling. system
Water heating system
Certification
Inpnl capacity I AFIIE or
Input capacity
k0tuh or kW
Input capacity I Energy I Storaye
kBtuh or kW I Factor I volume
INVe 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 1nstallhd in
accordance with manufacturer's instructions. INVe 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:- j1) Business fir m: / tiOEiix�Y
Address:i�)cr �;14E�felN.i Z�JI'
Phone:
Date: ?7 99
signature:�c�%'
... ... ... .......... ..
This disclosure form is to be signed by the mechanical contractor of 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 therm.
One copy of this form shall he provided to the Building and Zoning Deportment at final inspection.
one copy of this form shall be provided to the homebuyer.
mwf,aw01551] - N1.90