HomeMy WebLinkAbout627 SEDGWICK DR - DISCLOSURES - 7/27/1999Fort Collins residential energy code 7/96
Mechanical
Job address:
General contractor:
0echanical contractor:
Location
Fuel
Type
Manufacturer
Model
Input capacity
kBluh or kW
AFU Eor
HSPF
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
�
Input capacity Energy Storage
Location Fuel Type Manufacturer., Model # kBtuh or kW Factor volume
L^
I/Wmcertify that the above -listed equipment was installed in the building at the above locations in conformance with the
current requirements cfthe City nfFort Collins Residential Energy Code and Mechanical Code, and that itwas installed |n
accordance with manufacturer's instructions. hMecertify that any ductwork has been installed |nconformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical.Code. '
Certified by:,BRIAPJ 96 Phone:
Address I
This disclosure form Istobesigned bythe mechanical contractor urrepresentative nythe general contractor.
Please type nrprint, except for the signature.
If there are multiple systems serving any function, make multiple entries to d.escribe them.
One copy of this form shall be provided to the Building and Zoning Department at final inspection.
One copy nythis form shall beprovided tothe homebuyer. "d-m,"..^/m$o-WOO
Fort Collins residential energy code 7196 I
Mechanical systems disclosure form
Job address:
General contractor:
Mechanical contractor:
.
space beating system . ..............:....................
Input capacity AFUE or
Location Fuel _ 1r __ ape_ = Manufacturer_ _ Model # _ kBtuh or kw FISPF
—�(..til�i.ir
::: :::- :::. ::....:: ...........-::::::.:.:::::::::::::::::::::::::::::::::::::::::::::::::._::::::::::.::.
S stem v: v >:>: :';:;: r:
Space;coo..ing Y...................................................................................................
roll I Fuel I T
Water heatings stern
Y-
Input capacity
Manufacturer Model # _kr_3tuh or kw SEER
Inpuk capacity Energy Storage
lion L Fuel 1—_fypej Manufacturer Model # kBtuh or kw Factor volume
.......... . ......... - ...... . ..... ..... . ....... I .........
. .............
Certification:'. ....:. ::
IM/e certify that the above -listed equipment was installed in the building at the above locations Ill conformance Will the
current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code, and that it was installed in
accordance with manufacturer's instructions. I/We certify that any ductwork has been installed in conformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: Phortc.: 01 'ti
Business firm: _IN leux.y[ _�d��t ��,..., Date:-----
Address:i� z$ t;;+E.,�,cr •i, }?�v'I Signature:
..................................................................................r.....................................................................................................................................__.....:::::::::::::::::.:.:::::':::
StCUCtions:r :': (: .? .; 1r.. r: r:`r:Cr ........................ ...!7{.;,._} s: r...................
i.4:rrr`:i fv. rr.' :` r :'r' .r7. rr';`; ( >c:r'rr`?`'' r i.r. r.i ;' ; 'i?....................:
1rT............................
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 shall be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the hornebuyer. mluf.c WrI5S27-6g4A6