HomeMy WebLinkAboutMechanical 05-0897
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CITY 0] THIS FILE HAS BEEN
HEATING/AIR CONDI~ CLOSED DUE TO
INACTIVITY 4/16/2008
REQUEST .L '-'H -L U H ..~
INSPECTION SENT TO
HOMEOWNER 10-06
Date Rec'd
IT
9./5. oS-
~:~. I PERMIT NO.Oi.5 06.q7\
" Apphcant . {/
ZONING (office use)
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--=---.
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LEGAL DESCRIPTION (office use only)
LOTJI BLOCK ADDITION
m~
PID (l q - () . .-0
OWNER
(Name)
\1- 'C.- \ -\ ~
L-....>-\ \c....u s.
(Phone)
~5 2- 44 1- - r \I Y
(Address) \ Y ~ot b
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APPLICANT
(Name) '\~~,=>,(J ~ ,...., -\,,~ \
(Address) lfJ , ~ E: ~
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S ..H \- '-- ^
(Phone) 6, L- 72- Lj- I 8 c1 ~
S Or
(Zip Code)
(Contact Person)
V.e...-c...1'\.
(Phone)
--------=::-:-
DATE
q-\ ~-6 ~
"'PLICANT SIGNATURE
DNEW CONSTRUCTION ~ REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL 7LJ\.">(,) UGPNO-=T FUEL N 1\"\ ,. G " "')
FLUE SIZE RETURN OPENINGS INPUT 70 000 OUTPUT 5b,OOC
,
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
-m Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
I
APP . ICANT PLEASE COMPLETE BELOW
Estimated Cost $
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
_ou
2.. \ q S Building Permit #
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
llice Use Only)
....nis Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 4-fj, (//)
Date q, /&,(/.r
Receipt No. 441/~tJ
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372