HomeMy WebLinkAbout850 S Overland Trl - Disclosures/Mechanical - 07/24/1999Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
mchdiscZxls—7/10r98 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 970 224 6134
Job Address: 850 S. Overland Trail 5 & 6
General contractor: Valley crest Homes
Mechanical contractor: Choice City Heating & AC
INSTRUCTIONS
This disclosure form is to be signed by the mechanical contractor or representative of the general contractor.
Please type or print, except for the signature.
If there are multiple systems serving any function, make multiple entries to describe them.
One copy of this form must be provided to the Building and Zoning Department prior to the C.O.
One copy of this form must be made available to the original home buyer.
..............................e heating A. Space system
Location
I Fuel
I TVPe
I Manufacturer
I Model #
acity
I InputcakBtuh or kW
I AHSPF r
L
'
tiP f�
- l�Ct
�1,5-3
B. Space cooling system
Location
I Fuel
I Type
I Manufacturer
I Model #
I In put caacity
kBtuh oP kW
I SEER
_9 Al7
is oDvl/
;�
c;SE
.sy�ris�
nTL�
..........................
C Water heating system
Location
Lan
6,4 —
Fuel
/U/1t?�
Gi9•�
T e
,�.
Manufacturer
�;
17��f
Model #
�a D� y
C� �- �z �d�,
Input capacity
kBtuh or kW
-` p
! p�v
Energy
Factor
Storage
volume
.=
--� �
/,, 1
Certification%:><
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_
Phone: ,-,> � — y f��