HomeMy WebLinkAboutMechanical 05-0729
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"""'NI!50~" REQUEST FOR FINAL
INSPECTION SENT TO
at bottom) HOMEOWNER 10-06
ADDRESS
S ctd,~- t \) C\K 'POI" \ UR ~E
)~:i,cFi;T);ri~'i>' LAKE
. .;~"'~i~\\11:..EX--~ '.:.' - . -
I'fI'~~~i!([jlFTREPLA€EPERMIT
Dnfe Ree' d
7.27.05
I. Pink
2. Green
J. Yellow
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Applicant",., :O~.I.; ..;.... V _ \ . ................1
ZONING (office use)
LEGAL DESCRIPTION (om,,~, only) ,/1-
LO~I BLOCK ADDITION lX'
/
PID 25.401. 04{.O
OWNER
(N ame)
R\J~s L",\~el0 hOp
Sdct3- E:. Oat {)ckn-t V\\\}e. 0t. - ]:)(IOY
(Phone)
YY1.51115
(Address)
Lo.ke In N
./
APPLICANT I ;.~" 1-1 PI>,
(Name) G ()\A~'(+h ~ HOf'11t" (Phone)
(Address) I (j a tJ d ()i a c\. 0 Un 0€. \J cw A (\ J \lIl\)
(Address) .J
(Contact Person) --=r I 1"(\ ~ hI f\\ P t. ;
APPLICANT SIGNATURE I \'1"0 6" \ ~E?~ u DATE
APPLIC:ANrF::p.LEASEG~MPLETEBEL(JW
(Zip Code)
DNEW CONSTRU€TION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL S ~ \?. b" IOiv0 FUEL
FLUE SIZE RETURN . OPENINGs INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWannAir Platts o Steam PLEASE NOTE:
o Gravity o Hot Wafer Air Conditioner Units
o MechaniCal G}Radiation Cannot Encroach into
OAir Conditioning D:SpeciaIDevices Required Side Yard
DVent. System D;Olhet Devices Setbacks
FIREPLACE MAKE AND MODEL SL, 1 SO ~ re-~. 0
Industrial, Commercial & Multi"Family
FEKSCHEDULE
l%ofjdIJ cost Residential, Gas Fireplace
$39.50fuil1iinum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ I) \,;0..'7, C)() Building Permit # j q.S \)
HEATING PERMIT FEE
STATE SURCHARGE
tOTA.L P.ERMITFEE
$
$
$
.50
LJO.(}Q
\Office Use Only)
ThisApplication Becomes Your BUildingPerrnif When Approved
Paid
ReCeiP%o9 <) 0/
B:C \
/
Building Official
Date
24 hour notice for all inspections (952) 447.9!l50, fox (952) 447.4245
] 6200 Eagle Creek AVl.'nne, Prior Lake, MN 55372