HomeMy WebLinkAbout2627 Amber Harvest Ln - Disclosures/Mechanical - 11/29/2005U\
Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
ff=hd*-.2,,dS_7MOM 281 N. College Ave., P.O. Box 580, Fort Collins, CO B0522
Voice: 970 221 6760 FAX: 97D 224 6134
Job Address:
General contractor.
Mechanical contractor:
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 prior to the C.O.
One copy of this form must be made available to the original home buyer.
A. Space heating system
B. Space cooling system
Location
Fuel
T
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
C. Water heating system
P
Location
Fuel
T
Manufacturer
Model #
Input capacity
kBtuh or kW
Energy.
Factor
Storage
volume
Certification
UWe certify that the above4isted 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.
Person Certifying Job: ,ff ,
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firpp
UP
Mil
Date:
Phone: r--/ IL) -
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