HomeMy WebLinkAbout4226 WESTBROOKE DR - DISCLOSURES - 11/19/200419/2004 13: 16 9 702299983 1111_'A PA611 01
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Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Pirarnning and Environmental Sei vIc*s
rr+cndiec2.ba—7�tor�s 281 N C011690 A*,, P.C. t3M 580, Fort Collww, CO WPM
Voce, 970 22' VeV FAX: 970 224 6134
.lab Address:
General contractor. f Z K L
Mechanical contractor: Northern Colorado Air
INSTRUCTIONS
This disclosure form Is to be signed by the mechanical contractor or representative of Vie general contractor.
Please type or print, except for the signature.
If there are multiple systems serving any function. make multiple entries to desor;be them.
One copy of this form must be provided to the 8ul1ding and Zoning Department prior to the ^.Q.
One copy of this form must be made available to the original homa buyer.
A. Space heabng system
an
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rMat}',AIi���I��//II
B. Space cooling system
_l.00
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6A n cty
n3�i a
input capacity
kiltvh or kW
SEER
C. Wester heating system
Certification
I/We certify that the above -listed equipment (including ducts and piping) was ins,a;ied In the building at the above locations
in conformance with the requirements of the Fort Collins Residential Energy 'ode and Mechanical Code: and further, that
such equipment was installed In accordance with manufactureral instructions.
Person CettWina Job: Ann BArker
Business Firm.. Northern Colorado Air
Address_: 812 Stockton Ave
Fort C011ins, Co
phone: 970-223-8873