HomeMy WebLinkAboutMechanical 05-0155
I THIS FILE HAS BEEN
CLOSED DUE TO
INACTIVITY 4/16/2008
trossC{)~~ St-. S E"
R LAKE Date Rec'd
fG/FIREPLACE PERMIT 2.2-8,05
e.\cs>~ LOI'~ 13P t\- ~ - 'J.. 7S
~. ~:~ ~!~. I PERMIT NO. () 5 ~ J ~ff
3. Yellow Apphcanl . 10 - :J
ZONING (office use)
PtJSD
LEGAL DESCRIPTION (office use only)
LOT Z BLOCK 2. ADDITION t/f1t.oIN/tL ~LJ66 3/U:)
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL 5Jlc.- vA- 0 ~O FUEL JJcd- ~
FLUE SIZE RETURN OPENINGS INPUT 901 OOf) OUTPUT 7:;;.000
TYPE OF SYSTEM HEATING OR POWER PLANT
OWNER r'~ S ~
(Name) Qr~ (~
(Address) 60 f:t.
APPLICANT . ib ~
(Name) .~ Jr) i'r f ~(' ,
(Address) 3051 S V\J t St~ St-. Si-Ld.-')
(Address)
(Contact Person)
APPLICANT SIGNATURE
gW arm Air Plants
OGravity
o Mechanical
~ir Conditioning
"[]Vent. System
FIREPLACE MAKE AND MODEL
PID z5. 3/ft:,. 0/7. 0
(Phone) h~7 -qJ? ~-~.Yf?
(Phone) (~ 51 -1 f...;;:J. - ~~
~~ I 1vjN ~..:2~
(City) { (Zip Code)
(Phone)
DATE
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
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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
fiee Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$39.50
$39.50
$39.50
Building Permit #
$ :>Ct 50
$ .50
$ va ,00
Paid i/O,
Date ,.;;f/t{'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372