HomeMy WebLinkAboutMechanical 05-0623
~
THIS FILE HAS BEEN
HEATIN CLOSED DUE TO
INACTIVITY 4/16/2008
',PLACE PERMIT
Date Rec'd
(p. sO. oS-
~. ~~n ~:~. I PERMIT NO. (}S". 0 & Z3\
3. Ye\low Apphcant . .
ZONING (office use)
I~i;~ti::~+ ,Ie dE.,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
\~:R 0~
(Address)
j tJJ)t!-rkd
(Phone) 4~~- L/t/(j . fell/. ~
APPLICANT
(Name)
SEDGWICK HEATING & AIR CONDITIONING lLC
8910 Wentworth Ave So
Minneapolis, MN 55420
(95~e&f:9000
(Phone)
(Address)
(City)
(Contact Person)
(Zip Code)
. PPLICANT SIGNATURE
DATE
APPLICANT PLEA COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
REA TING OR POWER PLANT
OWann Air Plants
o Gravity
o Mechanical
ia'Air Conditioning
ill,.. OVent. System
~E MAKE AND MODEL fe,
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~6()
.50
qo, t2(J
luce Use Only)
Paid 4-ti. tJ ()
Date~ .1'0. P)
This Application Becomes Your Building Permit When Approved
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No. ~97Z./
By