HomeMy WebLinkAbout1648 Greenstone Trl - Disclosures/Mechanical - 07/14/1998Fort Collins residential energy code 7/96
Mechanical systems disclosure form
Job address:
General contractor:
Mechanical contractor:
Space heating system
Location
-Fuel
TvDe
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSPF
to
wGuC zN
frdlc / 'p
/ 0 OJT
O
Space cooling system
Location
Fuel
Tvpe
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
a.
A,
p p✓
Water heating system
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
Energy
Factor
Storage
I volume
wAlr
wM
• l— w.•
0 J 0
U e__
Certification
INVe certify that the above -listed equipment was installed in the building at the above locations in conformance with the
current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code, and that' s installed in
accordance with manufacturer's instructions. INVe certify that any ductwork has been inst in co r ance with
the current requirements of the City of Fort Collins Residential Energy Code and M anical Co .
Certified by: Phon 33 F G 7 <,,/t o
Business firm: ,n C, y Date: y
u. Address: 2j2�{r1, ! Signatur .
Instructions b�`°i.�°s w• s,�cf� aw �dd7`�/i-L-2
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 shall be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer. mcndis w VSS23-6/24M