HomeMy WebLinkAboutMechanical 05-0906
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THIS FILE HAS BEEN
CITY OF PRIOR] CLOSED DUE TO
HEATING/AIR CONDITIONINGJ INACTIVITY 4/16/2008
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 10-06
Date Rec'd
q.2AJ ,or
;'icant I PERMIT NO. 0.5- Or;O(p I
(Please type or print and sign at bottom)
I ADDRESS J5 3 /J$'
ZONING (office use)
11J(/ds t:brkwCliJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
(Address)
(Contact Person) ~ ' +-
(Phone)
DATE
-. PPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Go-" \,~ l\.
~t\t.1. \O~ ~~
\1&.-
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Permit #
o5.,{)90 (,
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
7'1. JV
.50
Av / u--'
.lice Use Only)
Date
Paid /ftJ--
Date'l [AI- P J/
Receipt No. 4-1'5 1-2..-
By
This Application Becomes Your Building Permit When Approved
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372