HomeMy WebLinkAboutMechanical 03-0589
CITY OF PRIOR LAKE
HEATIN -~-T-r..T'T"'TnNTl\T~/FlREPLACE PERMIT
THIS FILE HAS BEEN
CLOSED DUE TO
INACTIVITY 4/16/2008
Date Rec'd
=>, /c, .03
(Please type or print and sign at bottom)
ADDRESS
/f&5h I1t'Q~rrI
. Pink
:. Green
I. Yellow
~!~. I PERMIT NO~?_OSp.al
Applicant ~. C/ 1
ZONING (office use)
S-I
5E
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
-002- 0/2--
OWNER
(Name)
/{D Jl/I~rJ
L;'6 Sh
(Phone) <1"5d-.;b1h -~9'fO
(Address)
..5f-
(Phone) 7.6>3 -.l57-~
///;1 ,/e"a 4m 653tt3
(City) (Zip Code)
(Phone) 6/OJ-3d/-,C;C;V
,
DATE ~c:9S~.'-L3
APPLICANT PLEASE COMPLETE BELOW
I ONEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
j FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
APPLICANT a :;1.' LA
(Name) ,." 1// 'iI/1/ z;7/Rtt
(Address) /3.5t?;l ~h7vtJ /
(Address)
(Contact Person) ~
//;//J?;'/fF~Co
/9~/k;L
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
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
5fL/W rq~ v--l~// Estimated Cost $ c::l'79 uO
~:/ t//JcI Q/)/J :..../~ .brd/U.
'lice Use Only)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # 03 -- OSf37
$ 0.SG
$ .50
$ Yc7. Or:J
Chi, APPI;FatiOn~ oor Bnlldlng Permit When Approved
~ e:;-./& .03
Bu mg fficlal Date
Paid 4-0, (./0
DatS-. /~. a3
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245