HomeMy WebLinkAbout821 Ridge Runner Dr - Disclosures/Mechanical - 12/02/200812/02/2008 15 23 9708973151
r
ollins Residential Energy GodeHANICAL DISCLOSURE FORM
nthdlcl� -71108
Job Address.
General contractor
Mechanical contractor:
ROBERTS HEATING& AIR PAGE 01/03
the building & zoning dept. of
Community Planning and Environmental Services
2e1 N College Ave is D Box 5m fort CoIim co w522
volow am i am FAX S7o mil e134
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 Budding 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
Fuel
T
anufacturer
r M0dol
Input capacity
katuh or M
AFUE or
H$PF
770ZMM;T
Us
No-+u,rul
enncx ---T&—+3qTr-xco,01
GD,O(10
�12/
B. Space cooling system
Location
Fuel
Manufacturer
Model #
Input capacity
Wfith or kw
SEER
C. Water heating system
Location
Fad
Tyon
ManuPae
ModelB
lnkBhrh padw
o kYV
I Energy
Faeter
Storage
volume
Certification
VWe certify that the above -listed equipment (including ducts and piping) was Installed in the budding at the above Iocabons
In conformance with the requirements of the Fort Collin Residential Energy Code and Mechanical Code, and further, that
such equipment was installed in acconiance with manufacturers' instructions