HomeMy WebLinkAbout3751 Sandy Shore Ln - Disclosures/Mechanical - 04/26/200607/10/2007 15:09 9702234901 KEM HOMES PAGE 04/06
Fort Collins Residential Energy Code t he building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmenal Services
me ditI. As-7110/aS 281 N. College Ave., P.O. Box 59D, Fort Collins, CO 60522
Voice: 970 221 6760 FAX: 970 224 6134
Job Address:
General contractor:
Mechanical contractor. Northern Col-erado Air
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 priorto the C.O.
one copy of this form must be made available to the original home buyer.
A. Space heating system
Locstltin
Fuel
T
Mam�fnMklrer
Merrill a
Input capacity
kRtrrh er kW
AFUE or
WQPF
B. Space cooling system
Location
Fuel
TvDff
Manufacturer
Model
Input capaclty
kBtah or kW
SEER
;nic-
I c . 2reg-r
LAWK\
-1>aCa
Cl2 OOU
iO
C. Wator heating system
D
Locatiuu
Fuel
Toe
Manufacturer
Model a
Input capacity
kBtuh or 1,W
Energy.
ractor
Storage
volume
Certification
uwe oertlfy trial 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.
Business Firm: Northern Colorado Air
Address: 812 Stockton Ave
Fort C011ins, CO Phone: 970-223-8873