HomeMy WebLinkAbout5027 Northern Lights Dr - Disclosures - 04/11/2004 (9)Fort Collins Residential Energy Code the building & Zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
mchdW2.xls—7110l98 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 970 224 6134
Job Address:
General contractor:
Mechanical contractor: \ > 'A'Z c>-S -C L o, ,,,,o
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
.p
Location
o 02
Fuel
TvDe
ro :l C
Manufacturer
rtiAni
Model 8
h t ]
Input capacity
kBtuh or kW
t s-, o an
AFUE or
HSPF
gt�%
B. Space cooling system
Location
Fuel
TvDe
Manufacturer
Model X
Input capacity
kBtuh or kW
SEER
V
lI,C,C
MAAJA
7 %uv
,,00.0
10
C"
C. Water heating system
Location Fuel T Input capacity Energy Storage Manufacturer Model # kBtuh or kW I Factor volume
Certification
I/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 Certifyi ob: �j�(j QZ,
Signature: Date:
1
Business Firm: e-` Gp
Address: (41(o /U (Lg
r___6 PIN g0 S'O y Phone:
/- / /- o y
vti S