HomeMy WebLinkAboutMechanical 05-0270
CITY OF .Pl THIS FILE HAS BEEN
CLOSED DUE TO
HEATING/AIR CONDITIO INACTIVITY 4/16/2008
REQUEST FOR FIN"
INSPECTION SENT TO
HOMEOWNER 11/05
I~~~;md;;~ 6rd~
D-
Date Rec'd
1/-. 6 ~O~
Pink
Green
Yellow
EJ~icanl I PERMIT NO. 05 02701
ZONING (office use)
,€ISO
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID ZS. 14-1. 0 I o. 0
OWNER r::.
(Name) O~t:JJ e
(Address)
APPLICANT
(Name)
(Address)
(Contact Person)
/U'/-'11J t:..Y"
(Phone) tf.!J ~t/t/7,,(.5-Sj
SEDGWICK HEATING & AIR CONDITIONING LLC
8~1U Wenrworth Ave. So
Minneapolis. MN 55420
(9!!)I6En -9000
(Phone)
(City)
(Zip Code)
APPLICANT SIGNATUR
(Phone)
DATE L/ -lfR -tf)J
APPLICANT PLEASE COMPLETE BELOW
DNEW CON~UCTION H REPL~~EMENT 0 AL TERA TIONS
A<. ~ aN -4b D tJ4"
FURNACE MAKE AND MODEL ~~) 11 F 0, II-t) 'N!J I rl 4/1~() FUEL .fnAo
FLUE SIZE ~ If RETURN OPENINGS INPUT/ @ ~~ 0 TPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
~ ann Air Plants
DGravity
l2rMechanical
BJ\ir Conditioning
DVent. System
IhR.. LimJ
~IDDVl'\~ MAKE AND MODEL
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
/. f.ItL().11
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Industrial, Commercial & Multi-Family
$39.50
Residential, Heating & AIC (New Construction)
Residential, Hea)( Only (New Construction)
~ Dif Estimated Cost $
C.
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
~ffice Use Only)
$39.50
$39.50
Residential, Additions & Alterations
Residential, AC Only
Building Permit # 05 () Z. 7D
.I C;~Sb
l./tJ .50
_.~/)
$
$
$
Paid 40.00
Date4.1105
lhis Application Becomes Your Building Permit When Approved
Receipt No. J /':: '
"'-710/
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