HomeMy WebLinkAboutMechanical 04-0282
HJ
CITY OF PRIOR LAKE
THIS FILE HAS BEEN - -~/FIREPLACE PERMIT
I CLOSED DUE TO
NACTIVITY 4/16/2008
Date Rec'd
1. Pink
2. Green
3. Yellow
Jl~icanl I PERMITNO.t?L/-df~
1t33
ZONl! ~ce use)
5-1
LEGAL DESCRIPTION (office use only)
IS 0/-/'"'
LOT BLOCK ADDITION
OWNER
(Name)
0/d~/ 23~~
~
PID dS- ...
-0
(Address)
(Phone) ~~-Q~- /d'~/9
APPLICANT
(Name)
~. ~~~ b/;; ~Jo/'~RftJ
,/ 1:?) h;J' /:4'/dJ );;/ /!/ r;
(Address)
1./
(Phone) . Ilk ?-'~~0 7-? ~~)~
A'/Jo/4f JJa. ~2OZ/
(City) (Zip Code) .
(Phone) ~/d <3cJ/~ (509U
DATE -?/_. 7 -c:t1;
APPLICANT PLEASE COMPLETE BELOW
(Address)
(Contact Person)
DNEW CONSTRUCTION ?PLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices 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 & AlC (New Construction)
Residential, Heating Only (New Construction)
Jfls.;~/Id:Y' /4~ u/j!UIfstimated Cost $
)/ /u- .
$39.50
$39.50
c?7Q aJ
Building Permit #
'ce Use Only)
This Application Becomes Your Building Permit When Approved
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3 <J So
$ .50
$ '-r-u ( ~!
Building Official
Date
Paid tI~----
Date Lj, I ~-- '-/
Receipt ~o. & Lf7 I
ByO
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372