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THIS FILE HAS BEEN
CLOSED DUE TO
INACTIVITY 4/16/2008
CITY OF PRIOR LAKE
.IR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
',:f"III~~n...t> /
~
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 10-06
..t I PERMIT NO. 05.IIOw
ZONING (office use)
14211 SHORE LANE NE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2S. 2,/5. 039. ()
OWNER
(Name) KIMBEL RADEN & NANCY UJ'T'7.
(Phone) q C)? 44 C) n q 1 C)
(Address)
APPLICANT
(Name) RaNtS MECHANICAL, INC.
(Phone) 952-445-8585
(Address)
12010 OLD
RD
SHAKOPEE
MN
(City)
55379
(Zip Code)
(Contact Person)
(Phone)
. PPLICANT SIGNATURE
DATE
APPLICA T PLEAS COMPLETE BELOW
ONEW CONSTRUCTION REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL fu,vrler- tQcg\"V\VPOlPO FUEL ~
FLUE SIZE RETURN OPENINGS INPUT lRO.roO OUTPUT rIb\~CO
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWarm Air Plants
OGravity
R(Mechanical
~ir 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 $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
?f1.q)
4-0.000
,lice Use Only)
This Application Becomes Your Building Permit When Approved
Date
Paid 40.0 0
Date 11.3, () 5
Receipt No.
51J:3t? t-
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372