HomeMy WebLinkAboutMECH 08-0008
Date Rec'd
1.1. o~
~l~icant I PERMIT NO. 08. OOO~
(Please type or print and si~ at bottom)
ADDRESS ZONING (office use)
4150 WIND SONG CIRCLE NE
PID
OWNER
(Name MAHOWALD STONEWORKS
(Phone)
612-709-0395
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
(Contact Person)
2561
CHRISTA WEGWART
ROSEVILLE
(City)
(Phone)
55113
(Zip Code)
651-633-
i APPLICANT SIGNATURE
CHRISTA WEGWART
DATE
12-6-07
APPLICANT PLEASE COMPLETE BELOW
D NEW CONSTRUCTION X D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
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LjAlr IAJIlUlllUllilig
DVenlt. System
o Steam
o Hot Water
o Radiation
o Spedai j).:vic~s
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Rcquireu Sid~ Yaru
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
HEAT N GLO 6000G-IPI
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
BUil~ing"_#n
~~
(Office Use Only)
Building Official
Date
Paid 4-0. 00
Date I. 7. 0 8
Receipt ~o. .::>..::>/ 'r
ByJ.
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This Application Becomes Your Building Permit When Approved