HomeMy WebLinkAbout3733 Glenloch Dr - Disclosures - 11/19/2002Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE .FORM Community Planning and Environmental Services
mchdi=2:xls—7/10/98 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX 970 224 6134
Job Address: -% 3 3 G%e,, ; be
General contractor. v
Mechanical contractor:
,......:•.:
.,•:.
a eats
........•::;:::•::•.....I...................::;: ;::::::::.:;:; :::::•;::;;:::;::•:;::.:: ;;:::•;:;:::.;::::::::::::•:;:::•;::..:::::::::::::.:
_..... _M._...... n. s stem::::;: ::;;;:::...... ::::;>:•:::.:....:.::::::::::.::::::.:::::::;:-::::::::::::•::.:::::::::::::::::,.................::..:.:......... .
p................................ 9::......:.:.:.:::::::::::::::::.::::.:::.::::::...........::::..:::::::::::.:- ........................ ,.:::::. _:::.:..::::::.....::.::::::::. :::•.- :•:::.:.:..............:
Location
Fuel
Tvoe
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSPF
'
'�
5
......................... ........
::.:.:::::::::..:::::..:.:. ....... ...... .:..::::::::::: :..:
pace..coolin s stem::;: .:: ...............
:...::�.:........:.::.. 9..:.:Y.., ..
Input capacity
Location Fuel T e Manufacturer Model # kBtuh or kW SEER
Water. heatlrl ..s .stem.......:::::::.::.:::.::........................::::::::...::::..,....................................::.:::::::::::::::::::...............:.::.::.::.:::..:.:::.::....................
5. Y
Input capacity Energy Storage
Location Fuel Type Manufacturer Model # kBtuh or kW Factor volume
tlf Ica tlo :.:
::::::....... ..... ....
/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 Certifying Job :�__4:: it
c-
Signature: Date: %
Business Firm:
r�
Address: Qom/`)
Y d Phone: " Sf 2