HomeMy WebLinkAbout4702 DUSTY SAGE DR - DISCLOSURES - 3/10/2003 (3)Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
mchdisc2As —mass 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 970 224 6134
Job Address: 14 -702 by s i�yS&4 e
General contractor: VT7 �onr, filVcf-,'nn
Mechanical contractor: R "(1,r,: i
ASpace heating sy ...:..... :::::••.:•::::::::::::::.:.:::::.:::::::..:.::::: :........: ::•:::::;::::::;:::::•:
Location
Fuel
TvDe
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSPF
15 5
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S6+Ufif2 OI
80
gd -.
B S ace)cooltn s stem ' `
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Location
Fuel
Type
I Manufacturer
I Model #
Input capacity
I kBtuh or kW
I SEER
T
3 ion
/O
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....Water heating:system::::...:1::................."..".::::::::..::.:..:.:::..::::::.::.::.::::.:::::::.::::::.::::.::: •.
Location
Fuel
TvDe
Manufacturer
Model #
Input capacity
kBtuh or kW
Energy
Factor
Storage
I volume
--A
F-
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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:
Business Firm: �& 68er- j
Address: 53 44n i� f'A
Phone: ci%Q 62 9 -2D 7