HomeMy WebLinkAbout7233 Fort Morgan Dr - Disclosures - 02/04/2003Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
mchdiscl)ds-7110/98 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 221 6760 FAX: 970 224 6134
Job Address:
General contractor:
.. ...
..Space heating system
Location
Fuel
Twe
I Manufacturer
I Model #
Input capacity
I kBtuh or kW
AFUE or
I HSPF
T
rlo y 8110
Ila
............. ...... .. . . .
B S ace coolin s stern
Location
Fuel
Type
Manufacturer
I Model #
Input capacity
I kBtuh or kW
I SEER
........................ . ........ ........... . ...... .. ... .... ... _4.
C VNater.heati.ng.s.ystem`
Linput capacity Energy Storage
Location Fuel Tvpe I Manufacturer I Model # kBtuh or kW I Factor I volume
ficaiion-,:::.:
I/We certify .................................................:.::..:::::.:.:::.:::::::.:.::::::..-::::::::::
rttfy 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:
signature:
Business Firm:'`'.
Date:
Address: (a31 s8 Dom;>
I kko_���
Phone: - 14(4n_ l�3