HomeMy WebLinkAbout6232 Treestead Ct - Disclosures - 06/16/2003 (2)Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE .FORM Community Planning and Environmental Services
mchdisc2As —7n0s8 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 970 224 6134
Job Address: /W 2 1_Rttsrr„o LT,
One copy of this form must be made available to the original home buyer.
pace heatln. s stem.....................................:...:•::.::.::•::::.:.:::::::::::...:.................................................
............
......
.....
..:•::::::::::::::::::..:.:.::.:............::::
Y.............................................................................,............^. .
Location
Fuel
TvDe
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSPF
-Owl-4194*361040
Ali
s,A a/
I cAW&
aK
8ay
4.
SSsTiY90
9D k
gox
*...:.:::,... ::.:::.::::•:.:.:. •.::::...::::.::..:
................................................... .........:....................................................
ace.cooiin :s. steYTi:;:::......>::.:; ::::::.::::::::::•::::.•..:.:::::::.•..:::.::..:..::::::.::.:::...:.......::::.......:.........:...
9...................
Location
Fuel
TvDe
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
Water hean.gystern.:.:::.::::::::::::::::•:::::::::::::::.:::::.::.:•::.::::::::::.:.:::::::.
Location
Fuel
T e
Manufacturer
Model #
Input capacity
kBtuh or kW
Energy
Factor
Storage
volume
-V:':: ...:: ,•.: .....:.:t]..•.....•....' . .': �.:.:": ": :.: ?:. is' : : * :. :*. ` :' .*.'. *.'.*:*. '. '. L '.. :* ` :::..:..?'::` .:......:..:.: :......:..� �:: �': :�....� .... .�..... �` : � :�:� ::.: i :`�: ::� i.......................���':.`
er. tlficaii ..n.::::•:.................................. ...:.:..........................:.::.:.:::::::.:::.::................................................... ........::::::::.:.::.::::::::.::::.::::::::::::.-
.......................................................
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 Certifying Job: s'f WM
Signature: /�YA&&,-7, Date: 611s/ry
Business Firm: JeYtWP
Address: t?W6IFIOApl[woeo Avf. sr ./op
`i w�• •o v/u�E ew 190111 Phone: 3a3 #9 /-f'oo a