HomeMy WebLinkAbout1631 Streamside Dr - Miscellaneous - 06/29/2000Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
mchdiscZAs-7/10/98
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Oob Address: I/ "C3
General contractor: L::T' �fp If IV/_
Mechanical contractor.
A. Space heating system
the building & zoning dept. of
Community Planning and Environmental Service
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX 970 224 6134
Location
Fuel
TvDe
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSPF
B. pace, cooling s Stern
Y.P.
Location
Fuel
Tvoe
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
i
C. Water heating.syst, .Orn
Location
Fuel
Type
Manufacturer
Model #
Input capacity I
kBtuh or kW I
Energy
Factor
Storage
volume
..... ..... .... ........
:CdrtifidatiOl, ..... . ....... ...... . ..
.. ....... . ... .... .
[Me 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 ir4F"ance with manufacturers! instructions. _%
Person
Address:
Date:
Phone:
Uo