HomeMy WebLinkAbout2215 Marshfield Ln - Disclosures/Mechanical - 11/20/2007Fort Coffins Residential' Energy Cade
MECHANICAL DISCLOSURE FORMi
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Job Address:
Generaf contractor:
Mer-hanicaf contractor:'
f STRtlCTIOAtS
This disclosure form i
Please s to be signed by the mechanical contractor or representative of the general conttype or print, except for the signature. ractor.
If there are multiple systems serving any function, rake inuitipie entries fo describe them.
One copy of this form must be provided to the Building and Zoning Depa tment prior to the C.O.
One copy of this form must be made available to the original home buyer.
A. Space heating system
'FUE
ate wilding & zoning oT
Co1Mrnunity Planning and Environmenial Services
281 Ik. COIIeg. Ave_, P_O. Box 5K, FOi CONUIS, CO 80522
Voice: 970 221 67K FAX: 97o 224 o,�c
€3_ Space coofing system
C. Water heating system
e
Input capacity Energy. Storage
Manufacturer acturer Model # kBtuh or kW I Factor I volume
Rinnai 2520 180 kBtuh 0 82 13/4 gallon
C�e_ cation
UVVe certiry 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 Energv Code and Mechanical Code; and further, that
such equipment was Installed in acCOrdance with manufacturers, instrUctinns_
i—emDn certifying Job. tKL '5G 4
Signature'
E Date•