HomeMy WebLinkAbout921 Trading Post Rd - Disclosures/Mechanical - 09/20/2011Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
tWsc2xr: -7/1=8
Job Address:
General contractor.
Mechanical contractor
the building dt zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 221 6760 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
Locatrot�
Fuel
Type
Manufacturer
Model #
Input capacity
k8tuh or kW
AFUE or
HSPF
SEYr! E
I'3
U
B. Space cooling system
Location
Fuel
T
Manufacturer
Model #
Input capacity
k8tuh or kW
SEER
� i�'lCir/r
w
G Lai•
G
_
C. Water heating system
�N
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
Busines?
Address:
Job:
rA
Date: / I
L--Yd-T 121 t� %ri= C
70--TO0 33
Phone 0 12 3 j cf sz