HomeMy WebLinkAbout5326 Corbett Dr - Disclosures - 07/15/2003 (2)E
ollins Residential Energy Code the building & Zoning dept. of
ANICAL DISCLOSURE FORM Community Planning and Environmental Services
mchdiscl)ds -7/1 QM8 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 970 224 6134
Job Address:
General contractor:
Mechanical contractor:
Location
Fuel
T e
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSPF
B. Space cooling system
Input capacity
L cation Fuel Tvpe Manufacturer Model #- kBtuh or kW I SEER
C. Water_ heating system
Input capacity Energy Storage
Location Fuel TvDe Manufacturer Model # kBtuh or kW Factor volume
:::::::..::: •::.:. •:.:: •::::::::.: :::::.:::::.......: .........:.......:: •:::...:::::.....; ..........; .........; ..::: •:.::.
............
I/We certify that the above -listed equipment .:
ncii�ding 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
Signature::�a
Business Firm:
Address: J),A
Date: lo,