HomeMy WebLinkAbout603 Gilgalad Way - Miscellaneous - 08/20/2001Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
mchdisc2.As-7/10/98 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 221 6760 FAX: 970 224 6134
Job Address: 11 d
General contractor: �Ji` De<,4"11J Mechanical contractor: A _� 5 ,QfI�G 17AO
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
kBtuh or kW
AFUE or
HSPF
B/J
— —
B Space cooling system
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
I SEER
.... _...__.
C; Water heating system
Location
I- Fuel-
I- Type
Manufacturer
Modei #
I
Input capacity
- kBtuh or iiW
Energy
I- factor
Storage
I - volume
..........
. I . I_._ ... ..._...... _....,_....._... . .... ._........ _ ...... _... _......
Certation
I/We certify 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: ��L;Y4
Date: ee
Business Firm:
Address: <gl Y 44 71�- / C
Phone )-§:1F 2 - 23 3 7