HomeMy WebLinkAbout3021 Morab Ct - Disclosures/Mechanical - 10/07/2005Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
mah&c2.A@ 7/10M
Job Address:
General contractor.
Mechanical contractor:
the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Boa 580, Fort Collins, CO W522
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 pdK 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
per'
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSPF
S. Space cooling system.
Locatt
Fuel
TYEM
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
C.: -Water. treating, system,
Input capacity
Energy.
Storage
Location
Fuel
T
Manufacturer
Model #
kBtuh or kW
Factor
volume
(JOG-
'CI
9D.
CertificiWon
IM/e certlty that the above -listed equipment (Including ducts and piping) was installed in the building. at the above locations
In oonformanoe with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that
such equipment was installed In accordarice with manufacturers' insttuctions.
Iverson Certifying Job:
signature
Date: { U / aS
Business Finn: &Y kn I - f i_
Address: 11031 S
Phone:
Fort Coffins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
mohdl•az * -7/10M 281 K College Ave•, P.O. Box 580. Fat Colima, CO 80522
Volpe: 870 2215780 FAX: 970 224 6134
Job Address:
General contractor:
Mechanical contractor:
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 multlple entrles to describe them.
One copy of this form must be provided to the Bullding and Zonlhg Department prior to the C.O.
One copy of this form must be glade available to the original home buyer,
A. Space heating system
o.
�: $pQti;O COOtiflg systeim,
t ocatb
Fuai
a
anuf
M al
Input capacity
o kW
BEER
- -ZZ
i ,c`
S(a 1 C-S (
l
Q-� e�. .l''•fie ' ;y .ni, _ <.
LOq
a
Input capacity
k or W
Energy .
Factorvolume
Storage
IIWe certify that the above -listed equipment (including ducts and plying) was Installed In the building at above locations
In conformance With the requirements of the Fort Coffins Residential Energy Code and Meohanical Code; and further, that
such equlpment was installed In aecordarice vrith manufacturers' instructions.