HomeMy WebLinkAboutMechanical 05-0915
THIS FILE HAS BEEN
CITY OF PRI< CLOSED DUE TO
HEATING/AlP roOl\.TnTTTOl\TT INACTIVITY 4/16/2008
REQUEST FOl{ .FINAL
INSPECTION SENT TO
HOMEOWNER 10-06
Date Rec'd
9. 20 ~ oS-
~icanl I PERMIT NO. 05. 09/51
4-t. O~
LO/00
ST.
ZONING (office use)
LOT
LEGAL DESCRIPTION (office use only)
BLOCK
ADDITION
OWNER
(Name)
PID
(' __G..r'o \
L/
(Phone) %:)~ /sst)
(;' ; b~o'"
Lo -S
APPLIC~ ~ Y1J/"
(Name) ,or W~ ~H '-
(Address) / ~.s:f?'1 PeJ.:JbJ~ f3roo K. e.+-
(Address)
(Address)
(Contact Person)
(Phone) ~4)d-l)LJ7-81/D
P";DrW~ ~.53 7~
(City) (Zip Code)
'l>PLICANT SIGNATURE
(Phone)
DATE 9-2tJ -~-
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION PLACEMENT 0 AL TERA TIONS
FURNACE MAKE A MODEL FUEL Ai,l.) r
'::0. RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
~arm Air Plants
OGravity
o Mechanical
~ir 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
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
$39.50
Residential, Heating & A/C (Ne:w Construction)
Residential, Heating Only (New Construction)
lice Use Only)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
:S9...6-u
'10v JJ
Receipt No,
This Application Becomes Your Building Permit When Approved
Paid
Date
By
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372