HomeMy WebLinkAbout4821 Caravelle Dr - Disclosures/Mechanical - 08/16/2005Fort Collins Residential Energy Code the building & Zoning dept. Of
_CHANICAL DISCLOSURE FORM Community Planning and Environmental Services
mchdisc2xis--7110/98 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX 970 224 6134
Job Address:
� Lk C v�
General contractor:
Mechanical contractor. ; C,
;A. Space heating system..:; ...:. .
.:.. ... .. .. .. .... .. .... ... _. ... .. .... ............ .... - ......... .. .. ....... j
Location
Fuel
Type
Manufacturer
Model #14k-btuh
I pacity
& kW
AFu r
I HSPF
Vi
lc-ow-
.5%Kck� a-u'top
0t01%
toqo�o
:c,. Space cooling system _
Location
Fuel
Type
Manufacturer
Model #
IDaul capacity
kBtu r kW
SEER
15%10C
Cr��
�T�RO�O
l9oI
t Z
C: Water heating system
Location
Fuel
Type
Manufacturer
I Model #
Input capacity
I kBtuh or kW
Energy
I Factor
Storage
I volume
:Cerfificatlon «::::..:::
IIV1le ta::.e::: .... ....:.. .... ....... ....
.. ......::::::.............-:::-:::::::......:::.---.:..................................:::::.....::.:::::::::::.:::::.:::.::::..-::::... ......: :......-:.
certify that h 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 Certifvina Job:
nature: (- .\
W-�
Date: -g \ k S 1 OS
Business Firm: ��5 k
Address:
Phone: c\-+O S 3Z0 �23