HomeMy WebLinkAboutMechanical 05-0784
THIS FILE HAS BEEN
CITY OF PRIOR Lp CLOSED DUE TO
HEATING/AIR CONDITIONING/F~ INACTIVITY 4/16/2008
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 10-06
ate Rec'd
at bottom)
~!~. I PERMIT NO. 05 0 ~
Applicant .
ZONING (office use)
t ~1- n L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2~. 0'''. ao~. 0
APPLICANT
(Name)
~=e~~dfl~/J.j_ ~..
(Address) .- YO-i; Sk- n t.., PI-
~'
(Address) <-) K ~~.-
(Phone)
WS-SO~ci
-
S 5370\..
(Address)
(Phone) "-1:;6/-893.:1
-
tJ. (".
(City)
(Contact Person)
'PPLICANT SIGNATURE
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL -f(IU.lJ U.(crRt6);:;f}Jlet<. FUEL h6..J ~
FLUE SIZE RETURN OPENINGS INPUT AI//.J OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWaml Air Plants
[J9ravity
~ Mechanical
DAir Conditioning
OVent. System
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
FIREPLACE MAKE AND MODEL
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
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ ;)660-
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3<7.SV
$ .50
$ ,,/0 -
dice Use Only)
Building Official
Date
Paid ~,/A)
Date q i t(.V(
This Application Becoml~s Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372