HomeMy WebLinkAboutMechanical 05-1095
.--'
THIS FILE HAS BEEN
CITY OF PRIOR: CLOSED DUE TO
HEATIN '. -- ~"...rrH'T'UU.TTN~ INACTIVITY 4/16/2008
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 10-06
Date Rec'd
"'J.O('
, Pink
. Green
Yellow
Ei~icant I PERMIT NO. O>.IO'j~ I
-,
S~4.\ ~~. ~ <l
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZr-. (vi. 415. 0
OWNER
(Name)
S' \~ \J \. '" '"" \ \ ~ f"\
\S\ ,\, ~,~
(Phone)
'-\-s ~- '" \.\ Q. \i~ 11
(Address)
APPLICANT SIGNATURE
(Phone) G'S ~~ ll\.\kl-~\ ~~
~Y'\"'Ci~ L~\~ yl\I\) ~~J:)
(Ci21 (Zip Code)
(Phone) ~":J -~ "\) - ~~
DATE \~ - '~\ ..5"
(Address)
(Contact Person)
DNEW CONSTRUCTION ~REPLACEMENT o AL TERA TIO~ .~
FURNACE MAKE AND MODEL ( ~.,(- ~ li('- - 10- \ '). FUEL ~
FLUE SIZE RETURN OPENINGS INPUT ~\o.~ OUTPUT <; ~ j o<:s a
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
9
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
$ ~ ~ SO
$ .50
$ l-tO ~
,
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
1'0-
1\., .(;(
Receipt No,S\) 3 ( ~
By
Building Official
Date
Date
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372