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Home My WebLink About6802 NIMITZ DR - DISCLOSURES - 8/19/2009 (2)08/19/2009 12:33 Smith and Willis HVAC AN/lB/2009/TUE 11:10 AM Development Review (FAX)3036881811 P.0011004 FAX No, 970-224-6134 P. 002 Fort Collins Residentlei Energy Code (MECHANICAL. DISCLOSURE FORM mendiscZxls—7/10/98 Job Address: 11 V G— N 1 iY11 1 General contractor: Mechanical contractor: wl� the building A zoning dept. of Community Planning and Environmental Services let N. College Ave., P.C. Box 6e0, Fort Collins, Co 80822 Voice: 970 2218760 FAX: 970 224 6134 i>2 I�liIAivi(-,\ 'P.-i ' 4 1n► 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 signaturs. 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 Tvve Manufacturer Model 0 Input capacity kgtuh or kW AFUE or . HSPF st F Y 5 • — I IIIZ.. . e. Space cooling system C. Water heating system Location Fuel Tvpe Manufacturer Model'# Input capacity kBtuh or kW gnergy Factor Storage volume Certification I/We certify that the above-liated equipment (Including ducts and piping) was Installed In the building at the above locations in conformance with the requirements of the Fort Colllne Residential Energy Code and Mechanical Code; and further, that such equipment was Installed In accordance with manufacturers' Instructions. Person Certifying Job; T, signature: DateQ� Eu9l rms Sm k ,V0 4 Address: 1.� Phone; L� S 1 w 4 q' g2 08/19/2009 12:34 Smith and Willis HVAC RUG/18/2009/TUE 11:10 AM Development Review (FAX)3036881811 P.002/004 FAX No, 970-224-6134 P. 002 E llins Residential Energy Code the building & zoning dept, of ANICAL,. DISCLOSURE FORM Community Planning and Environmental Services MOVISce.,ris-.7110/99 201 N. College Ave., P.C. Box 580, Fort Collins, CO 80322 Voice: 870 2216760 FAX: 670 224 0134 Job Address: General contractor: . Mechanical contractor: ? Nirn1tz 1 �0I 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 Type Manufacturer Model # Input capacity k8tuh or kW AFUI or , HSPF s+--lP m 0. Space cooling system Location Fuel Tvpo Manufacturer Model Input capacity k8tuh or kW SEER A0031010 C. Water heating system Location Fuel Tvva Menufpoturer Model'# Input capacity k®tuh or hW Energy Factor Storage volume Certlficatlon I/We certify that the above•Ilated equipment (Including ducts and piping) was Installed in the building at the above locations In conformance with the requirements of the Fort Collins Rsmidentlal Energy Code and Mechanical Code; and further, that such equipment was Installed In accordance with manufacturers' Instructions. Pereon Certifyl ng Job: el"-- f 'e, r Signature: Gate: I eualn rm: Address: U � > *120FA NVZ 08/19/2009 12:34 Smith and Willis HVAC (FAX)3036881811 P.0031004 AUG/18/2009/TUE I1:10 AM Development Review Fort Collins Residential Energy Code MECHANICAL DISCLOSURE FORM mandbrQ.xl�—Tl10/8B Job Address: tr Q— N 1 YYl) t z General contractor; Mechanical contractor: `��nnt•��V1 (� 1 1� FAX No, 970-224-6134 P, 002 the building 4 zoning dept. of Community Planning and Environmental Services 281 N, College Ave„ R0. Sox 880, Fort Collins, CO 80522 Voice: 970 2210760 FAX: 970 224 6134 DD — Tip►)ldIPLx --� I03 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 tunctlon, 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 Tyve Manufacturer Model # Input capaolty k8tuh or kW AFUE or . HSPF r o -- 2 0. Space cooling system ' Location Fuel Tvpe Manufacturer Madel u Input capacity k8tuh or kW SUR C. Water heating system Location Fuel Type Manufacturer Model # Input capacity k9tuh or kW Cna►ray Feotor Storage volume Certification I/We cartity 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. Person Certifying Job: 617(e,e= 0 Signature: �-- Date: SusIne : Address:12?-) 40 A A 111 ri W I ,l At o -rNv1 P .h 5�n 17.E Phone, .21) ' % —tPA 0811912009 12:34 Smith and Willis HVAC AUG/18/2009/TUE 11:10 AM Development Review (FAX)3036881811 P.0041004 FAX Igo. 970-224-6134 P.002 Fort Collins R$Sldentlal Energy Code MECHANICAL DISCLOSURE FORM mondlsc2.,ns -rn ores i c Job Address: General contractor: Mechanical contractor:jm�\ the building A zoning dept. of Community Planning and Environmental Services 281 N. College Ave., P.O. Eox 560, Fort Colllna, CO 80322 Volta: 970 2218780 FAX: 970 224 0134 104- INSTRUCTIONS This disclosure form Is to be signed by the mechanical contractor or representative of the general contractor. Pleeee type or print, except for the signature, If there are multiple systems serving any function, make multiple entrlss 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..Spaae heating system Locallon Fuel Typo Manufacturer Model q Input capacity kBtuh or kW AFUI or , HSPF S}. Yl.Qil7 siw" 100 I 8. Space cooling system ' Location Fuel Typo Manufacturer Model 0 Input capacity kBtuh or kW SEER rr 2 to 1 031D10 C. Water heating system Location Fuel Type Monufacturer Model # Input capacity kBtuh or kW Energy Factor Storage volume Certification I/We certify that the above -listed equipment (Includlnq 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 socordancs with manufacturers' instructlons. Person Certifying JobtGy IMP