HomeMy WebLinkAboutMechanical 04-1070
CITY OF PRIOR LAKE
HErA TING/AIR CONDITIONING/FIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 11/05
l~icanl I PERMIT NO. 04---. 1070 \
Date Rec'd
/0 ./q. 04--
at bottom)
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LEGAL DESCRIPTION (office use only)
~O~ '~OCK I ADDITION
OWNER J
(Name) a lJ ~5+
q~-yqlo-aO~
(Address) 1L.\3aLc> DO'-.JE: Court
(Phone)
IJ ...5-11--
ZONING (office
use)
/
PIDr~ S- - 3b?f . {J{) g U
APPLICANT
(Name) L o",.r"0 t) f-:0 ,A \ v--
(Phone) ID 51. ~ (00. Co ONN
(Phone) (05 I - 3L-.\ L\ - y Cl53
DATE J O. I <X .' Y
PPL ANT PLEASE COMPLETE BELOW
[]NEW CONSTRUCTION ~REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ('yj \-t:'S1 ) tel) C} " " (Y) c)() q FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
(Address)
B\N\()
I- AY-rnl~)"
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DWann Air Plants
DGravity
o Mechanical - ~
IZIAir Conditioning (,.D0d-lCt>s)
DVent. System
n Steam
FIREPLACE MAKE AND MODEL
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 10-06
1-.
1 % of job cost
$39.50 minimum
$99.50
$64.50
Industrial, Commercial & Multi-Family
Residential, Gas Fireplace
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # 0 +- I 101 ()
$~q. 50
$ .50
$ yO,ex)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
paid40.oo
Date 0, ,04-
Buildinl!: Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~5()al...1
(Zip Code)
I PLEASE NOTE:
Air Conditioner Units
:annot Encroach into
~equired Side Yard
:ietbacks
$39.50
$39.50
$39.50