HomeMy WebLinkAbout409 Peyton Dr - Disclosures - 05/14/2003 (4)Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
mchd1sc2As—7/IG98
Job Address:
General contractor:
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
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Mechanical contractor:—i(�.�f PLI,�a�gt+�7ca
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
NSPF
B..'Spa.ce,.coollrig system
Location
Fuel
Type
I Manufacturer
I Model #
Input capacity
( kBtuh or kW
I SEER
........... _
G Water tleatin s stem .
........ ......... ............ 5 .. Y .. .........
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
Energy
Factor
Storage
volume
GAS
tc,� i�
o +
F46
40 JCS
.......................:................................................................................ -
........... .....G-,l �.-
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ertl#it; :::::::.::. :::::::::::.:::::::.::::::.....
I/V11e.certi.f:::t ..a:..:::: ::........... ..... ......... .... .. ....... ........ ..... ..... ... ......
... ...........: ..: .......::::.: .... ..._....:.......................... ��: ::.-: r..iriirr:-:::iirrFrr: irr�':::�::.?:i'.?: �:'Ci`ii{?i:i'r:'iili:i' :-:;;:.::,: �::{ti8i !ciiii::?: _:iii.: i:::::.i?i}i :•:??:i�:; �::;'
y that theabove-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 manufacturerg' instructions.
Person Certifying'Job:
Signature: D.