HomeMy WebLinkAbout4926 PYRENEES DR - DISCLOSURES - 1/8/2008Jan, 8. 2006 3:50PM No, 6799 P. 2
Fort Collins Residential Energy Code the building Al zoning dept. of
MECHANICAL. DISCLOSURE FORM Community Planning and Environmental Services
mchdisc As-7110/sa 00000200b281 N. College Ave., P.O.13ox 580, Fort Collins, CO ao522
Vaice: 870 221 67sn FAY• e7n 7'e a, oA
0"-- —Y UUMMcwI ur represernauve or 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.
Location
yr9wi�.v
Fuel
.1�A4,t►�
jXPe
Manufacturer
Model #
Input capacity
kBtuh or kW
D
AFUE or
HSPF
d
Location
-0-4Z11Y'YAf�-
Fuel
T e
Manufacturer
Model #
kBtuh or kW Input capacity
SEER
Location Input capacity I Energy storage
Fuel 7 e Manufacturer Model # I Btuh or kW I Factor volume
..........:.:.::: : •:,... :::::.:.:::::...::::::•:
I/We certify that the above -listed equipment (Including ducts and i in 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:
Date: // e/7�
Phone: 61/C1' � S L'