HomeMy WebLinkAbout2244 Forecastle Dr - Disclosures/Mechanical - 03/20/2007+`a `C_ca )E2
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[Fort Collins Residential Ener_vy Code
Ea: HAt7fCAL DISCLOSURE FORM
M=Mi1 ;2xS—7PI0198
Sob Address:
General contractor:
Mechanical contractor;
lNS I MUL, I 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 multip'ie entries to describe them.
One copy of this form must be provided to the Building and Zoning Depaftment prior to the C.O.
One copy of this form must be made available to the original home buyer.
The bUi[ding & zoning dept. Of
Community Planning and Environmental Services
28 i N_ College Ave., P.O. Box a407
, Fo, Cotiins, CO 8 522
Voice: 570 221 675C FAQ: S76 �4 6134
A. Sisace heating system
B. S( ace cooling system
C. Water heating system
Air- ',dryvtF35-
Input capacity AFUE or
kBtuh or M HSPF
60kBt-uh 92:1` AFUE
input capacity I Energy.I storage
2520 180 kBtuh 0:82 3/4 gallon
�ertFic�ton
1/We ce tify fhat the above•Lsted equipment (including duc
in conformance with the ts and piping) was installed in the building at the above Iocatiors
requirements of the Fort Collins Residential Energv Code and Mechanical Code; and further, that
si ich equipm enL was Installed In accordance with ,manufacturers' instructinric
Damon CeEtifyinq ,job:
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