HomeMy WebLinkAbout2263 Clearfield Way - Disclosures/Mechanical - 10/01/2007Fort Collins Residenfial Energy Code
MECHAN)GAL DISCLOSURE FORM
moh3s.2_xis 7Y10.,98
.lob Address:
General contractor.
Mechanical contractor
the building & zoning dept. of
Cornrnuniiy Planning and Environmental Services
281 N! College Ave., P.O. Box 5M, Far CoRns, CO 8C,522
Voice: 970 = 6760 FAX 979 7-24 6134
[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 multipie 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 trade available to the original home buyer.
A. Space heating systern
Location
Fuel
TVpe
Manufacturer -
Model #
input capacity
kBtuh or kW
AFUE or
HSPF
G
Forced Air
La
6PkBtmh
92i1=-1
B. Space cotsriiig system
Location
Fuel
T
Manufacturer
Model'#
input capacity
kBtuh or kW
SEER
coil
Electr
Lc Forced Ai
kBtu
13
Elect
'c Forced A.i
kBtu
13
C. Water heating system
�FUE
Location
Fuel
Tvne
Manufacturer
Model #
input capacity
kStuft or kW
Energy .
I Factor
Storage
volume
Tankless
Rinnai
2520
180 kBtuhl
0.82
3/4 ga
l:et�t�lC2Eti=iC3R
I t_Ne cerffythat the above -fisted equipment (including ducts and piping] was installed in the building at the above locations
in confomtance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that
such equipment was installed in accordance :vhth mam,`iacturers' instructions.
Person
Business
.Ion