Laserfiche WebLink
From:GOUNTRYSIDE HEATING & COOLING 763 479 2518 05/21l2013 14:03 #742 P.0021004 <br /> '�� �dF������1�Hk�.. :... .. . z_ . .. . . . �''r ,. � �. - <br /> .. .3 .. .» _ : . . <br /> r:.%�^}Brr.��L'N,t�.s7+�w k.__q+:d�" .4A. . .. -.. .... � � . ... ...� m... n. . ..._._. ..... . , '. . .. <br /> hote:All Geothennal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes ❑No <br /> HEATING SYSTED'IS <br /> Quantity: ---- ----- <br /> Make: . <br /> Model: �� __ <br /> Fuel: � _ _ _. <br /> Flue Size: _ <br /> Tnput BTUs: �__ `..._ <br /> Output BTUs: __ __ �� �____ <br /> CFM: — -- -- ---- <br /> COOLING SYSTEMS <br /> Quantity: ��� <br /> Make: C1N�� . - ----- --- -- <br /> Model: �o�,�_ 1"t�t'� - -------_—.__----- <br /> Tons: __� _ �__.�_ <br /> H.Power �6 ��� � <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace . <br /> ❑ Wood Stove Model No.: _ <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORA.GE (Must be approved by Fire Marshall if proposing to abandoa tank in place.) <br /> ❑ Instailation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where:_ , <br /> 2 <br />