HomeMy WebLinkAboutMechanical 03-0158
08:43
CITY OF PRIOR LAKE
rTTY OF PRIOR LAKE
E THIS FILE HAS BEEN 'GfFlREPLACE PE
CLOSED DUE TO
INACTIVITY 4/16/2008
I. Pink
2 Gr~n
), YellO'"
File
Ci'y
Applioonl
By
I PERMITNO.03--0/5~
ZONING (office use)
/33
WR.ONTV A-vt:. f1<IOK.P/fti I'nf+U-
LEGAL DESCRIPTION' (office use only)
LOT
BLOCK
ADDITION
PID z5- 90Z- - Oz.1 - 0
OVINER
(Name) 6SR.
(Phone)
(Address)
APPLICANT
(Name) LoI2f'o~ff MFLA-n'r'Me,.'Tt-
(Address) .511'1 HlLLS&:JRO A-v'C ;Vo/Lf}'t
(Address)
(Phone) 7(;J- S3.'.).-Jo7o
NfA,../ Hf;P!- . V'-1.J
(City)
55 Lfl~
(Zip Code)
(Contact Person)
.JE--rr- JCINf..,
(Phone)
DATE
2J'f /oJ
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT L TERA TIONS
FURNACE MAKE AND MODEL ~'{)f - I..H"''( #~ (2-) FUEL !vitTI 6ltJ
FLUESIZE i-j" RETtJRNOPENfNGS tJf}. INPUT IIS,ooO OUTPUT 9l.00u
TYPE OF SYSTEM REA TING OR POWER PLANT
, .erVfarm Air Plants 0 Stearn
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVcnt. System 0 Other Devices
PLEASE NOTE:
Air Conditionel' Units
Cannot Encroach into
Required Side Yard
Setbacks
F)REPLACE MAKE AND MODEL
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
J % of job coSt Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39,50
Estimated Cost $ .3. ~ '-Ie .-
Building Permit it 03- 0/58
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PE FEE
$
$
$
3/ .sv
.50
'10. ......
Pai O. 0 ()
Datez ~ ~ "'03
TOTAL P.01
'"