HomeMy WebLinkAbout2732 Annelise Way - Disclosures/Mechanical - 05/23/2006L
linsResidential Energy Code the buiiding & zoning dept. of
ANICAL DISCLOSURE FORM Community Planning and Environmental Services
71A 281 N. College Ave., P.O. Box 580, Fort Colons, CO 80522
Voice: 970 221 6760 FAX 970 224 6134
Job Address:
General contractor: I)v ttY Dn r r 1110
Mechanical contractor: F(�z&Ir
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
Fuel
Tvoa
Manufacturer
oriel #
input capacity
kStuh or kW
AFUE or
HSPF
S. Space cooling system
Fuel
TyPe
Manufacturer
Model *
Input capacity
kBtuh or kW
9 ER
Ws#ecliieat�ng system: .
Lao Ong,
Fuel
Tvoe
Manufacturer
Model #
Input capaclty
kStuh or kW
Energy .
Factor
Storage
-
C
C
Cer mciuoii
UWe owt* 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 accordarice with manufacturers' instructions.
Person Certifying Job:
Ec
ollins Residential Energy Code
HANICAL DISCLOSURE FORM
mohdNee.� 7MOAe
Job Address:
General cofitractor.
Mechanical contractor.*
the building & zoning dept. of
Community Planning and Environmental Services
281 N. CdWe Aw,, P.O. Sac 600, Fart Cdllrn, 00 W=
War. M 221 6780 FtY. M 224 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 multiple enhles to describe them.
One copy of this form must be provided to the Building and Zoning Departnient prior to the C.O.
One copy of this form must be made available to the original home buyer,
A. Space heating system
COOlIih1Q
1�i..
t�'�''�
_ ►
_ire_ .�
IR-2-4i
MEN
1
Iwo=
C� �YVa�er. head .�. ,. .m,; , .;,, : .;:��. ,;• ;�,� _-... ,•. ..,;�„' _ ,; '-:.�• .�,.. .•,;. :� ., „;�,.• ,..
�►Q� WRfiiWiir .^ ', r ., r ; i �1;.,., ,'c.
i/We cart ., . ,. ,'.• • .' �• •••• . ' •. ....,
by that tSi abw -listed equipment (lndudno ducts and'plping) was installed In the buiidina at the above lo.catlons
. 'in conflo mane With the requirements of the Fart Collins Residential Energy Code and Mechanical Code, and further, that
such equipment was installed in accordance with manufacturarse In*uotlons.