HomeMy WebLinkAbout2314 Summerpark Ln - Disclosures/Mechanical - 03/14/2006Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
mchciisc2.)ds —7/ 1 o/98 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 870 221 6760 FAX 870 224 6134
Job Address:
Genera! 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
Location FuelE Input capacity AFUE or
T Manufacturer Model # kBtuh or kW HSPF
G Forced Air Lennok 36P8•D7t�: kBtuh 92.T -AFUE
07
B. Space cooling system
Location Fuel I tVDe I I Input capacity
k Manufacturer Model # kBtuh or kW SEER
Electr c Forced Ai !�2 kBtu 13
+s'�' - r'c Forced A.i p3c,.130. o kBtu 13
C. Water heating system
Location Fuel
T Input capacity
Manufacturer Model #
Energy .
Storage
kBtuh or kW
Tankless Etinnai 2520 180 kBtuh
Factor
0.82
volume
3/4 gallon
Certificat c)n
11'We certify 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 Energy Code and Mechanical Code; and further, that
such equipment was installed in accordance with manufacturers' instructions_
Person Certifying .lob: V rN,( 4re99=04� A V,(��
®
Business Firm: dy,
Address:
Date: a-/
Phone:-t/6�-p