HomeMy WebLinkAbout1989, 07-27 Permit App: 89002463 Pellet StoveI.RCEL NUFJBER:
INFORMATION WORKSHEET
TREET ADDRESS: J, 0 o 3 izyZ C.r l�
ITY/STATE/ZIP:
SUBDIVISION:
BIOCK: LOT: ZONE: DISTRICT:
Sr -A 6€1)i 9966.
LOT AREA: F/A: WIDTH: DEPTH:
OF BUILDINGS:
R/W:
f OF DWELLINGS: WATER DI_S1'RICT:
;q0z.e.)(t& e
r ILING ADDRESS: S��✓
. I'I'Y/STA'L'E/ `LIP:
PHONE:
- 7(17
uNTA CT : PHONE:
SETBACKS: — FRONT:
_ hRMI'T USE: -- //4 G
•
")a:':'IJ,C'1OR LICENSE NUMBER:
.)NT ACTOR:
-.I 1,1 i:G ADDRESS:
LEFT:
/
RIGHT:
BUiLDING INr'ORMLATION
PHONE:
1 :: CU I TELT/ENGINEER: PHONE:
7.1%ILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE: _ —
I'rst:LL UNITS: OCCUPANT LOAD: BUILDING HGT:
REAR:
STORIES:
UII.DIi G DIN.i-NSIONS: X (WIDTH X DEPTH) SQ. Fr.:_
-2UI PED PARKING:__ 1 IiANDICAP: SEWER (Y/N) : HYDRANT:__
d
ca TI,_A'_TOR
MAILING 1,.DDJF.SS :
**********x**********s******************************x********************
;fECHANZCAL INFORMATION
CONTRA CPOR LICI:
CONTRACI'OR :
MAILING id)
•
£Lr.0"TRIC: GAA: OIL:
ENERGY CODE: WSEC:
feet&,
CCA:
N SEC:
UTILITY:
SOLAR : HEAT PUMP
SGr:
APPROACH__ PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
*x*****xx***x*x****x*********x******************x*******t*****************
MECHANICAL FEES
TEM DESCRIPTION
'ROCESSING FEE
..ICTWOT'K SYSTEM
O g oVE!IN :EPT
EA'T'ER HEATER
▪ li'I'G L)UIP(100,000)B`I'U
: 115 IrrG EQUIP +100,000
GAS PIPING - t OF UNITS
IiEATI'UMP 1-100 BTU
is ATPUMP 101-500 BTU
i EA'I'PUMP 501-1000 I3tU
I J.T i' UM P 1001-1750 BTU
' EATPUMP +1751 B'I'U
:FP I G 1-100 BTU
:FRIG 101-500 BTU
.:FRIG 501-100 BTU
'.EIFIG 101-1750 BTU
LFRIG +1750 BTU
IR CONDITIONER 0-3 HP
R CONDITIONER 3-15 HP
_IR CONDITIONER 15-30 HP
; I R CO'.DITIONER 30-50 HP
.I R CONDITIONER +50 HP
'.'i.iTIL1%TING FANS
APORATIVE COOLERS
IITYJDS
TLY11 ES DRYER
i_: r,I :=>'FED GAS AYi'I,I1 ' E
AIR H'?+I'ITJ:R 1-10000 rFM
NUMBER OF
YES OR NO
PLUMBING FEES
l'fEN DESCRIPTION
NUJ OBER OF
PROCESSING FEE
'I01LETS
S I NKS
SHOWERS
FAiH i'til:S
KITCi3t:H SII:KS
I)l S1I'r.'1,SaiERS
Gt..1diAGE DI SP,;1SAL
CIi<YI`IiES WASHER
Lrl'I LI'i'Y SINKS
I:I,EC'I TRIC WATER BEA'T'ERS
F'IT 3R DRAINS
FL'XOR SINKS
I;AR SINKS
ROJDF I P,ATNS
IJ3-N SPRINKLER
SEWAGE F.JY,Ci'OR
HA`T't:R SrOF FE
URINAL
PRINKING FOUN`T'AIN
YES OR NO