HomeMy WebLinkAbout2215 Cocklebur Ln - Disclosures/Mechanical - 09/10/201009/10/2010 12 59 9708973151 ROBEPTS HEATING& AIR PAGE 01/01
Fort Collins Residernial Energy Code the building dt zoning dept of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
nn 7n ON 281 N College Ave P 0 Box SW Fort Collins CO 80522
Voccw 870 221 67M FAX 970 924 0134
4
Job Address
General ton
Mechanical
INSTRUCT IVN*
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
ILP
B Space cooling system
Locatlon
Fuel
TV06
turer
re24ARFA15D
Model 9
Input capacity
kBtuh or kW
sEgB—
IF)
C,
45 30 0
C Water heating system
Locatlo
FuelT
ufa car
a
Input capacity
kBtu or
Energy
actor
8tarage
volume
Certification
INVe 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 Presidential Energy Code and Mechanical Code and further that
such equipment was metalled In accordance with manufacturers Instructions