HomeMy WebLinkAboutMechanical 05-0319
THIS FILE HAS BEEN
CIT~ CLOSED DUE TO
HEATING/AIR CO~ INACTIVITY 4/16/2008
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 11/05
at bottom
RMIT
Date Rec'd
f 2[' CiJ
~. ~~n ~!~, I PERMIT NO. /lC (J :sIal
3. Yellow Apphcant . vo. _ ',+-.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25. i4-l. 057. /
IOWNER ~~
(Name)
(Address) .
~~~~ ~
(Phone) 1'.9. -1J4.1...Jk1.5'
APPLICANT
(Name)
SEDGWICK HEATING & AIR COND!TIONING LLC
8910 Wentworth Ave. So.
Min_~~~~li4?O
(Phone)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
DATE 4r/...t(~5
APPLICANT SIGNATURE
APPLICANT PL SE COMPLETE BELOW
DNEWC~N REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODE b ~ttiI 46ft ~7C) FUE~
FLUE SIZE (:;/' RETURN OPENINGS INPUT 7~ ~ #() PUT 54..?'b'cO
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants
OGravity
~Mechanical
E1'Air Conditioning
OVent. System
~t&~1KE AND MODEL 1..."
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
Estimated Cost $
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
()t?
c", "1'" :--""
~-iL. Building Permit #
$39.50
"~-l
( $39.50.-/
-nlJ."5lJ
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
'Qffice lJse Only)
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~4.$o
. .50
~ t!)/.)
fhis Application Becomes Your Building Permit When Approved
Building Official
Date
Paid _"'--" [/U
., (). .
Date .1 7.'-- .,~
<r . ., D_,
Receipt NO'1')?/'
4 1/))
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372