HomeMy WebLinkAbout632 Stonington Ln - Disclosures/Mechanical - 02/16/2005 (2)E
ollins Residential Energy Code
HANICAL DISCLOSURE FORM
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Job Address:
General contractor.
Mechanical contractor.
the building & zoning dept. of
Community Planning and Environmental Services
261 N. Cdlege Ave., 11.0. Box No, Fort Ccfte, CO 80322
Voice: 970 2216760 FAX: 970 224 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 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
Location
Fuel
TvDe
Manufacturer
Model #
Input capacity
k6Wh or kW
AFUE or
HSP
ram 10400
i/Gaw YZ
Fw
S. Space cooling system
Location
Fuel
Two
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
1
f
C. Water heating system
LocatiEnergy
on
Fuel
t
Manufacturer
Model *
Input kBtuh or kW�
.
Factor
storage
volume
Ceirtification
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.