HomeMy WebLinkAbout3702 Observatory Dr - Disclosures/Mechanical - 09/27/2007Fort Collins Residential Energy Code the building
zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Ser
tVices
P=8 281 N. College Ave.. P.D. Flex 580. Fort CA1r.G. CO eX22
Voice: 9702216760 FAK,9702246134
Job Address: -376)z sc-rvc- LrY
General contractor:
Mechanical contractor.
INSTRUCTIONS
This disclosure form is to be signed by the mechanical contractor or representative of the general contractor,
lease type of print except for the signature.
11 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 musk' be made available to the original home buyer.
A. Space heating systerri,
i
Input capacity I AFUEor
Location Fupll
T manupacturer
Model X
ka-'ahcLr�W.nspF
B. Space cocifing sy , stem
I
L�- tion I Fuel
Type Manufacturer
'Model t
lnput.capecity
IrRtah or kW
sFER
2
C. Water heating system
I Fuel
Tvve
Manufacturer
I I Input c2pactty
Model 0 k8tuh or kW
Energy,
- Factor
I Storage
volume
F
Certification
l/We certify that the above -listed equipment (including duos and piping) was installed In the building at the above locations
In conformance with the requirements of the Fort Collim Residential Energy Code and Mechanical Code; and further, that
such equipment was irs-,,--J!ed in accordance with manufacturers' instructions.
Person Certifying Job-,
Si feature: Date: 21C.,
Business Firm:
Address:
Phone: