HomeMy WebLinkAbout2332 Chandler St - Disclosures - 05/12/2003 (2)Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
mchdisc2jds—7110/98
the building (& zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX 970 224 6134
Job Address: _;;? 3 2 r-t1w v"ie 5T,
General contractor: 12Y1.4o/l) a..cl
Location
5ASOMWAIT
Fuel
t.
�5
T e
rucn
AIR
Manufacturer
lNA
Model #
Sgs>ti►
Input
kBtuh or kW
AFUEr
HSPF
$e9:
::.
cooling system .:.:
acity
Location Fuel Type Manufacturer I Model # I Input kBtuh or kW I SEER
C ,Water tieatin 's..st :;: ::::::.::: ::.:::. :.........::.: ..::::::::::::::.::......
.................................
.....em.............:.:.:::.::..:..
Energy
L
nputcapacity
Location Fuel T e Manufacturer Model # I kBtuh or kW Factor volrage
ume............
Certtfcat:;;::::::;•:•::;::;::•:•::::•:;:;:::;:::.:;....::•:::::::::::.::::::::::::•:::;::::..........:........................
won......:.........................:.::::.:.....:.:::::.:::::::.:::•:::::::::::::•::::::::.::::::::::::•:•;::::::•;;:::•::;:::.:•:.:::::::::::::::
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 Certify!
Signature:
Job:
Business Firm: RYCA-- : f u*-�
Address• $�bp ,� J�ilMc�.►g.0 *E S9' /DD
Date: rl e3
Phone: 34),