HomeMy WebLinkAbout2719 Jewelstone Ct - Disclosures/Mechanical - 02/03/2000I Fort Collins residential energy code 7/96
RAnr-hanical systems disclosure form
Job address:
General contractor:
Mechanical contractor.
Location
Fuel
T
Manufacturer
elif
Input capacity
kBtuh or kW
AFUE or
HSPF
Space cooling system
Sys Water heating sy
Location Fuei
T e
Manufacturer
Model #
Input capacity Energy
k8tuh or kW Factor
too crX)
Storage
volume
.C3u5PiNl.n-l'
c�r
Certification
UVVe certify that the above -listed equipment was installed in the building at the above locations in conformance with the
current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code, and that it was installed in
accordance with manufacturefs insUuotions. WVe certify that any ductwork has been installed in conforman -e with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by:
Business firm: Ally Y
Address: p
Phone:
Date:
Signature:
Instructions
This disclosure form is to he signed by the mechanical contractor or repreaentatrve of the general contractor,
please type or print, except for the sSgnalure.
If there are muttiple systems serving any function, make multiple entries to describe them.
One copy of this form shall be provided to the Binding and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.
.rns:c W 6sn _ rn.