HomeMy WebLinkAbout6802 NIMITZ DR - DISCLOSURES - 5/20/2010 (2)0512012010 1005 Simth and Willis lIVAC (H01031111S 1911 F 0011001
Fort Collins 17esfdentlal Energy Code Neighborhood & Btill(linq ,3t rv►ces
MECHANICAL DISCLOSURE FORM 261 N College Ave P O Box 6 0 ort L,Di ins CO 8002
mdWtctz I room Phone 970 221 0700 FAX 97 6 34
Job Address I , ,-Q,7 RWq A # Q?t�—__
Oananil cortimatcr I
Mechanical conbsictor-__.-
INSTRUCTION >
This disco ure form s to be signed by the mechanical contractor or representative of the gt.nel at (or rector
Please type or print .x^ept for the signature
If there are maltlple systems serving any function make multiple entries to desc Ibe them
One copy of t-iis form must be provided to the Budd ng and Zoning Department prior to the 0
One copy of hla fcrrr must be made available to the origlral home buyer
A Space heating system
I 1pi t capacity AFWE or
But or kW HSPF
i
B Space cooling system
L.Calton
Fuel
Irma
Manufacturer
1 1P� o rpaclty
Model it 1 cBrral o k1N SEE
410 A
1 04o,
Qd.-rr1JenLn.�..'
1 .�
.—
C Wiper heating system
Lac to Fuel
Ticeanufacturer
Model
I p I ompacity energy I Store Go
th 3 or klh at tar volt. nn
Certifioai.fon
INV@ certify that Ina above listed equipment (Including ducts and piping) was installed In tiro I-uildin t he above loco ions
In conformance with the requirements of the Fort Collins Residential Energy Code and Medinrl m GC d s anr' f irther that
such-quipment was installed in accordance with manwhcturers instructions
n
Pelson Cet"ong Job
Signature �� k vU/GltS DaW rrc" 1C) —
Businesa Firm C�C�,.AlMe
Addraoa
I
I
Phttlner lv)-�Q �'j � - 6, 15 T