HomeMy WebLinkAbout809 SNOWY PLAIN RD - DISCLOSURES - 6/26/2009Elm
ort Collins Residential Energy Code the building Atzoning dept of
ECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
rnd1Tw2bs -7n Oise 281 N College Ave P O Boot 580 Fort CoFim CO 80522
Voice 970 221 6760 FAX 970 224 6134
Job Address 909 snewv pain Ad,
General contractor 6katd / Cask 4wrA
Mechanical contractor Bty p` &,� „ _ l
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
i
FTA ,.. �. R.r��,�
. ,. s
$ 4
WPM=
B Space cooling system
C Water heating system
Location
I Fuel
I Type
I Manufae4irer
I Model
I kBtuh or kW
I FactorInputoapacity y
I vo�lu ne
GAS
Prn Am
I An.0
5s
Certification
tMe certify that the above -listed equipment (including duds 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 Certrfying Job
Finn
Address
Date
Phone