HomeMy WebLinkAboutMechanical 05-1144
THIS FILE lIAS BEEN
CLOSED DUE TO
INACTIVITY 4/16/2008
I..,j It ur I'l\IUl\ '-"",'"
TV OF PRIOR LAKE
JNDITIONINGfFIREPLACE PERl\1IT
Date Re~'l'
,
\, ,.\
2. c-.
). y.uow
~~\~l \ FERMTfNO'LJ5 - IJ!!J!
I I ZONlNG ,- "'J 1
REQUEST FOR FINAL
INSPECTION SENT TO
~typeorprilllll,lll!lll&lbo~ HOMEOWNER 10-06
I ADDRESS .
~S'/66.?fn#~C~r% //&'//
I LEGAL DESCRYI10N (ofli~ U.Ie only) - p
; LOT /l,LOC:: ADDlTION {fd.. 1c/v: l?0/7'~~ . U
(Phone) ~ - h dC/- ? O'?(t
r ~~:R '75~ ~
1\'''.............;
I \
, (A dO ress ) ~<7"'..6
---
APPLlCA..~T
. C'.m'I--A~:~~-t'1)~
, :,Address)...L22 3' ". V&/It ~/<l ~
(Adl:1re>> )
Ch
Sd
(Phone) 2<-~ ~ /~6- :;;-eJ-C7c?
qp""#.5w/h 53- 557
(Cny) (ZIp Co~)
(Phone) 9c:,-:.?--7Y6' .-:;-~t:7/
~
DATE
/7
! (Cctlt2.C! Pen;on) (
I .'\?PLlCANT 51 }NATURE
I
I T PLEASE COMPLETE BELOW
i .gQ ,h...-i ONEWCONSTR~CTION ~?LACEMENT ~ALTERATIONS
: FCR-~ACE MAli; AND MODEL ;E: J? t7 "'" ,,'" <-k , ><./ FUEL ;I-V kJ T --
: FLUE SrZE 3,/~C? L/C/ RETURN OPENINGS INPUT OUTPUT -----
TYPE OF sYSTEM HEATING OR POWER PLANT
iJWlIlill Air Plants
~~::~j~1
Alr CoodJtionin~
I Vont Syctem
o Steam
/SJiol WaJM
~Ra..dWJon
SpeciLl Devices I?dj~;G/.?
Other Devices styk/ ~
PLE.....SE NOn::
Air CondltlOner Unlcs
Cwnot EnCfQ&Cn into
Requi~ Side Yard
~cl:.s
I
J
i FIREPLACE M,' K.E AND MODEL
loe~str:I.:, Comml eill &. Mulll.FlII11ily
FEE SCHED utE
I % of job oo,t Resl(jentlLl, OiJ Pir''!'lace
S39.50 rn1nitn\.llTl
S99,50
S64,SO
539 50
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
Residential. Addition, &. ^I~era!ions
Residential, AC Only
Buildin~ Permit # "-
,
..3'L)U
S 3 950
539 50
R(ljdenll,l, Hca.l:' ~ & NC (New COl'Istl'\Jction)
KClidrntlSl. Heall g Only (New ConstrUction)
8timated Cost S dO ddd
,
$
$
S
.so
't 1t".)0
(Olfle, Ul.I Only)
p
(;'1_ ~
Dalej! -( b -~
i ThIs AppUCll' ion Bccomt'! Your BlIUdln~ pnmlt Wben Approved
Build i ,omdal
Dale
U nour Dolic. for 011 ia,ptctiolll (9~2) 447.98~O, (11 (952) 447...+204ti