HomeMy WebLinkAbout621 Keenesburg Ct - Disclosures - 01/09/2004 (4)Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
mchdiscl)ds—7/10/98
Job Address:
General contractor:
B Space cooling system
the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970221 6760 FAX• Q7n "A a1-AA
Location
Fuel
T e
Manufacturer
Model #
Lput capacity
Btuh or kW SEER
r
C .:Water heatingaystem
Location Fuel T e Input capacity Energy Storage
Manufacturer Model # kBtuh or kW Factor volume
Certlfica ion....: >` ::::.:::..:::::::..........
..........
.............. .............................................................................................................................................................
1/We certify that the above -listed a ui ment (including ducts and piping) was installed in the building at the above locations
q P g P p 9)
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:
Address:
Data
Phnna-