HomeMy WebLinkAbout7245 Fort Morgan Dr - Disclosures - 02/04/2003 (2)Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
mchdisc2.xls--7/1019e 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 221 6760 FAX 970 224 6134
Job Address:
General contractor:
Mechanical contractor:
Location
Fuel
Type
I Manufacturer
I Model #
Input capacity
I Wtuh or kW
AFUE or
I HSPF
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Location
Fuel
Tvpe
I Manufacturer
I Model #
Input capacity
( kBtuh or kW
I SEER
C Water heatingaystem
Location
Fuel
Tvpe
I Manufacturer
I
( Model #
Input capacity
I kBtuh or kW
Energy
I Factor
Storage
I volume
GAS
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I/We Gerd y hat the above -listed equipment (including ducts and I In was installed in the building at the above locations
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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 manufacturert' instructions.
Person Certifying'Job:
Signature: Business Firm:
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Add ress:
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the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 221 6760 FAX: 970 224 6134
Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
mchdisclxls—7/10198
Job Address:',
General contractor:
Location
Fuel
Type
Manufacturer
I Model #
Input capacity
I kBtuh or kW
AFUE or
I HSPF
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iC> AA Lbqq
10 OM-017.t
C1a
1 /0
... . ......
B Space:cooling system
Location
Fuel
Type
Manufacturer
Model #
Input capacity
k8tuh or kW
SEER
C Water heating system
Location
Fuel
T e
Manufacturer
I
Model #
Input capacity
kBtuh or kW
Energy
Factor
Storage
volume
. :..,::::.: ;:...;;:::::::........::..: .
.: ,, . .... ... .
I/V11e 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: Tj1 51 -1—V
Signature., Date
Business Firm! -
Add ress-i1cal SHC eA,,v IRLV!Q. ZZLQ I�15�
�`MawXgmo Co, ACY'2� Phone: _363 HU0 1 1,