HomeMy WebLinkAbout3820 Gardenwall Ct - Disclosures - 12/20/2001O.Faox 5W Fort Coffins, CO 80522
FAX: 970 224 6134
Job Address: _gCQ
General contractor:
Mechanical contractor:
INSTRUCT -IONS::
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::he6ting system._
Location
Fuel
Type
I Manufacturer
I Model #
Input capacity AFUE or
I kBtuh or kW I HSPF
,47 �,
-3P
& s o
Location
I Fuel
I Type
I Manufacturer
I Model #
I Input capacity
kBtuh or kW
I SEER
.. -- .......... ....... .... -
ater::h.eati»rg.system .
Location
Fuel
Type
I Manufacturer
I Model #
Input capacity
kBtuh or kW
I Energy
Factor
I Storage
volume
. ....... .
UWe 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:
Signature: Date: