HomeMy WebLinkAboutMechanical 03-0810
~~ CITY OF PR.10R. LAKE
€.o~ "i\\\\ HEATING/AIR CO~ITIONINGIFIREPLACE PERMIT
- i THIS FILE HAS BEEN REQUEST FOR FINAL
~ CLOSED DUE TO INSPECTION SENT TO
INACTIVITY 4/16/2008 HOMEOWNER 11/03
(Please
ADDkL~~
5921
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Pt-/l eE
LEGAL DESCRIPTION (office use only)
LOT 10 BLOCK 2 ADDITION (!/IA:::O/ iliA LeAD G 6- 3 leD
Date Rec'd
&_ /Cf. 0.5
RMIT NO.05 -08/0 \
l
ZONING (office use)
PUS D
PID25 -3/&- ()Z5-()
OWNER
(Name)
(Phone)
(Address)
APPLICANT ~
(Name) \. j e,
jJ dri C/t
(Phone) 9S~- </"10 -70'17
(Address)
(City)
(Address)
(Contact Person)
(Phone)
DATE
-~ PPLICANT SIGNATURE
(Zip Code)
A PLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
,/;.' /l.-Id LJ OVent. System
grr~' Cite; V'N/T /teJq7E7<?-
MAKE AND MODEL
(6C\.C; \l\...L,~'r
~
Industrial, Commercial & Multi-Family
F E SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Permit # ()3 - oaf 0
$ 3950
$ .50
$ 4-0.00
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
lice Use Only)
paid4-0.0 0
Dtt~ 11. 0.3
_..is Application Becomes Your Building Permit When Approved
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
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