HomeMy WebLinkAboutMechanical 04-0154
CITY OF PRIOR LAKE
HEA TING/ A TR rONnTTTONINGIFIREPLACE PERMIT
THIS FILE HAS BEEN
CLOSED DUE TO
INACTIVITY 4/16/2008
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
eN ame)
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(Address)
APPLlC~ n . \
(Name) dL _ ~(l.D -tea.- ~~ II>-) ~-. .
(Address) S'()1')5 '-1: CJ ll:l ~f. . D ~ {(?J I
(Add
(Contact Person)
Date Rec'd
3,J704-
~:;y \ PERMIT NO'M 0/5 4-
" Applicant .,
ZONING (office use)
PID zs: 13S: OD7.. 0
(Phone) QSd. Ll~(o '313Cp
DATE
APPLICANT PLEASE COMPLETE BELOW
ON CONSTRUCTION PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FEE SCHEDULE
IndustriaL Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace
$39.50 minimum
ResidentiaL Heating & AIC (New Construction) $99.50 Residential, Additions & Alterations
ResidentiaL Heating Only (New Construction) $64.50 Residential, AC Only
Estimated Cost $ ~ .1 SCD Building Permit #
TYPE OF SYSTEM
OWarm Air Plants
OGravity
~e anical
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H ,-"vllultlOIU..J.g
OVent. System
FIREPLACE MAKE AND MODEL
HEATING PERMIT FEE
ST A TE SURCHARGE
TOT AL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Building Official
$
$
$
"b9 I SO
.50
4CP'~
(paid 40 . () 0
\ Date L
;5. 17, tJ T
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
=
$39.50
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