HomeMy WebLinkAboutMechanical 04-0748
__ _ .___'- __ _ ____. _ __ __--..=:..::.... ~~ rrdUK LA.KE
141001
HEATr
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-05
r.Ple2.sc: type Dr pr'...nr and. sig;n at bottom)
I ADDRESS
1~[;~0 I \ I:)L" + h S~r-e~ ~ C:L ,--+ h EC6-\-
CITY OF PRIOR LAKE Date Rec'd
3:PLACE PER-lY1!T 1 z"eJ.04-
Cloc~ lJ,~ .BP-4-' 5 - (liO?
:. ?In<
t, Orcen
I, Y.II_
~~~ I PERMIT NO'OL. .Orl~
Appllmt I Y' '4
\ ZO~,,<lNG (oEi.c:.'JSO)
I
r LEGAL DESCRlPTION (office use ~nlY)
I LOT BLOCK ADDITION
PID ZS: Ir,S. b 7.7. 0
I OWNER. .
I (Nam,) De kY-,,,, h Hn. (0,bo ~\ \
I (Address) ~Gq \ 1 G;C:;-\-h S+r~-* ~t"LL-t h
(phone) 9.r---Q~' ~ k\ D- Y ("1?:> ~
E-.CEJ+
APPLlCAN12,
(Name) [')ntrcIlle0:
(Address) ~ I:) \[') EC\.~.{b(\
(Address)
0: \ I
L\ ~ -e~ LlO
(Phone) GC:S [- Y fob ~. 0(;-:');.]
+n . r;~~0:')~
Cc:i ) (Zip Code)
hone)' &:/~\ ~ ~l.\ y--- L\ 855
DATE ~ f)- r")
APPLICANT PLEA CO. ETE BELOW
ONEW CONSTRUCTION REPLACE1v1ENT 0 AL TEM TIONS
I FuRNACE MAKE AND MODEL ""1 thJ\€',: \ LlfX::,(oD f\Cj % FUEL 1- in,:I. fjt'l t)
FLUE SIZE _ RETURN OPENINGS' INPUT (cC; ,t:z-l> OUTPUT
,
TYPE OF SYSTEM BEATIN'G OR POWER PLANT
(Contact Person) (\ ,oJ (
I APPLICA.NT SIONATURE
~wc..-m Air Plants
o ravi~y
Mechanical .
. Air Cc.nditioni~g L\n (\Xi~~
OVen!. System
o Stearn
o Hot Water
o Rndiatlon
o Special Dcvices
o .Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
i
J
FIREPLACE MAKE ANu MODEL
JndUSlrlal. Commercial & Multi-PamHy
FEE SCHEDULE
J % of job GOS! Resicl<::ntial. Gas Fireplace
$39.50 mini~um
. $99,50 Residential, Additions & Alterations
$64,50 Res1d,::ntial::AC Only
$:39.50
Residof1tial, Heating &, .Ale (Nt:w Consu"Uction)
Residential. Heating Only (No...., Construction)
5:39.50
$39.50
Estimatod Cost $
Building FeITnit #- 0 f- ~ 0 I +'8
REA TING PERMIT FEE
STATE SURCHARGE
TOT A.L PERMlT F'EE.
$ ~l\ .f)O
$ ,50
s: l..j (!. re'
(Ome: Use Only)
I
"""11js AP.piic.ation Becomes Your Building permit When Approved
L
Dale
Building Officip,l
24 hour notice for all il1spedibns (.95?) 447-9850, [Sox (952) ~7-4245