HomeMy WebLinkAboutMechanical 05-0080
C THIS FILE HAS BEEN
HEATING/AIR ~ CLOSED DUE TO
INACTIVITY 4/16/2008
REQUEST ~UK .l<1NAL
INSPECTION SENT TO
lease type or print and sign at bottom H 0 MEO WNER 11/05
I ADDRESS
. , b 78 L-\ c.. ~E-~~5\S) t: c..., q".
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
f RA Nc.., S
fY') \,) €:. ~L G. fL.
(Address) J
<- \ Ci-
APPLICAN~
(Name) b; ,D(;.~" "'" L
(Address)
H~AT\~G ~~,~
't .$ i'- SUI 't E::-
(Address)
(Contact Person)
APPLICANT SIGNATURE
Date Rec'd
I PERMIT
f. Z7. 05
~.~;, ~!~. I PERMIT NO. 06. 0080 I
3. Yellow Applicant . '.
ZONING (office use)
s'~
PIDZS". 'oZ. 09+. 0
(Phone) q S 2, if'17 - 2.8 ( a
.(:
(Phone)
6'z.:. -, 2..'-I-18C;~
APt"....' S
/, , Z-. '7 z.. ~I - . 8' q '1
1-Z-6-o~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION LACEMENT 0 AL TERA TIONS
. FURNACE MAKE AND MODEL KuUD U (,p~o 7 C:::...^uG...~ FUEL tVIC\T. G~ ~
FLUE SIZE RETURN OPENINGS INPUT 70,000 OUTPUT ..5{,,000
TYPE OF SYSTEM HEATING OR POWER PLANT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 10-06
OWarm Air Plants
OG~
[31(iIechanical
OAir Conditioning
OVent. System
o Steam
n Hot Water
FIREPLACE MAKE AND MODEL
.I.'~~ lJ'-'...&.:J""V~.&J
Industrial, Commercial & Multi-Family
I % of job cost
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Residential, Gas Fireplace
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ 7- ~ '\ I ,bO
Building Permit # ~5. OO~O
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
"his Application Becomes Your Building Permit When Approved
Building Official
Date
$
$
$
3Gl . S 0
.50
'If}'OO
Paid .L.".
.,-V . Vi.;
Date
I. z,7. oS"'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
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