HomeMy WebLinkAbout902 Thornhill Pl - Disclosures - 01/04/20029a .2 74ai , & �14e,e
Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
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mchdisalxls—7/10198 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 970 224 5134
Job Address:
General contractor:
Mechanical contractor:
A. Space: heating system :::::.::
Location
Fuel
TvDe
Manufacturer
Model #
Input capaetty
kBtuh or kW
AFUE or
HSPF
C te.,
e
a7 S"
Soo O
o q
B ; Space cooling system
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
C. Water.heating system
Location
Fuel
Two
Manufacturer
Model #
Input capacity
kBtuh or kW
Energy
Factor
Storage
volume
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 Certifvingg Job: /// 4!�I
Signature: Date:
Business Firm: /t'b /T//PA eig � L C'
Address: 9,4,o S'?` zdh (,I ec -
Phone: 6 9 7 —.2 33 7