HomeMy WebLinkAbout2127 Ford Ln - Disclosures/Mechanical - 10/24/2001Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental service
mchdiscZxls -7110/93 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 970 224 6134
Job Address: 2 IZ-7 r6Zz> L,"
General contractor: "A-*�
Mechanical contractor:
........... .... .
INSTRUCTIONS .......
NSTRUCTIONS
. ...... .....
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.
P heath t
..... .�!Ce.eaungsysern-:
Location Fuel Type ManufacturerLrpr MOUW In C pacily ArU"r
. k uh r kW `�pr
It
Sliace cooling
Location
Fuel-
T vD a
Manufacturer
Model-#
In put capacity
WWII or kW
SEER
X-11i b11—
...... .. ..
C.Water heating s Stet
Y ....... ..P
4.44 . . .... ..
.... .... .... . - ...
Location
Fuel
Tvnp
mmillf.Mi".,
KA-A-1 a
pl".Pci . ty
Ic
I Energy
Factor
I Storage
volume—
W
I/We certify that [lie above -listed equipment (Including ducts and piping) was installed In tire. 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 Ce? �rng� ob:
Signature:
Business Firm:
Address:
nnfa-
Phone: