HomeMy WebLinkAboutMechanical 03-0869
CITY OF PRIOR LAKF.
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
THIS FILE HAS BEEN
CLOSED DUE TO
(Please type or print and sign at bottom) INACTIVITY 4/16/2008
ADDRESS
~. ~~~~w ~liicant I PERMIT NO()~_ 86 crl
ZONING (office use)
16577 FIVE HAWKS AV
\1 LEGAL DESCRIPTION (office use only)
LOT '~LOCK \ ADD~TION 0 ~ 'u>>.r c;? ,JJ
PID cx~- ;;75'" () J . -0
OWNER
(Name)
(Address)
ERIK BUCHOLT
(Phone) 95 2 - 2 2 6 - 2 1 50
16577 FIVE HAWKS AV
APPLICANT
(Name) RON I S MECHANICAL, INC.
(Phone)
952-445-8585
(Address)
12010
RD
SHAKOPEE
(City)
55379
(Zip Code)
'\PPLICANT SIGNATURE
(Phone)
DATE
(J ,z=+. ~
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL "R U,,\r:p u..A ~adY FUEL e.U-L-t:"\r \~
: FLUE SIZE RETURN OPENINGS INPUT OUTPUT ').. -+on.5
1
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o 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 & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
dOoD
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,3J{. S)
.50
Lt:Q.00
ffice Use Only)
This Application Becomes Your Building Permit When Approved
Date
-1-3
\i
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372