HomeMy WebLinkAbout608 KEENESBURG CT - DISCLOSURES - 12/22/2003 (3)the building (& zoning dept.'of
C04111lullity Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 221 676U FAX: 970 224 6134
41
�orf Collins Residential Energy Code
mtbH A NICAL DISCLOSURE FORM
MchcHiC24ds —711ON8
Job Address:'
Gehaml contractor:
Input capacity AFUE or
Location Fuel Type--_-, Manufacturer Model # kB(uh or kW I-ISPF
.... . . ....
..... . ... . ... .. .... ...........
coo I .......
... .......
.......... . ...... .
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Location Fuel Type Manufacturer" Input capacity
Model# kBtuh or kW SEER
.......... ..... .... .... ... .... ..... ...
. ................................................. ....... ....... ........
............. . ...... .. . ..... I ....... .... ... .. .. ... . .... ...... .. ......... . ...............
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7.7 . ........ ........
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Lochtlon
Fuel--
Type
Manufacturer
Model #
Input capacity Energy Storage
kBtuh or kW Factor volume
GAS
Fak-146
-7-
ZG is 3 71.t7.-Mo. qAJ
........'...I. ................ ......
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h thia ..ove-....s.t..
led..a.................................................
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q Ptnent (Including ducts a'nd' .....piping) was Install... di-In.-tille building at the above location
III bofif .6hillfi&ii With the requirements of the Foil Collins Residential Energy Code and Mechanical Code; and further, that
Such 4,41,110.11ii6ht Was Installed In accordance with Manufacturerg' Instructions.
06 Obli C6I4lfylhg'Job:
Date:
Phone: 41e,,&
Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
mchdisc2As—7l10l98 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 221 6760 FAX: 970 224 6134
Job Address:
General contractor:
B S ace coolln s stem
... g::.Y
Location Fuel L Tvae Input capacity
Manufacturer Model # kBtuh or kW SEER
G- {Na er;heaiing system
Location Fuel --Type Manufacturer L Model # Input capacity Energy StoragekBtuh or kW Factor volume
..:.:..... -
CertificaEibn '::':;:;:;:::
...::...
,...;..
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:
Signature:
Business Firm:
Address:
Date: I
Phone:3_Ei�-li3_