HomeMy WebLinkAboutMechanical 05-0232
CITY OF PRIOR LAKE
HE! . -- ~~_T~"'''''''''''''''TT1...u-'/FIREPLACE PERMIT
THIS FILE HAS BEEN
CLOSED DUE TO
INACTIVITY 4/16/2008
Date Rec'd
3. J l.,uJ
L Pink
2. Green
3. Yellow
~!:y I PERMITNO.05.()Z.3~
Applicant
1~:;S~~5~~s
ZONING (office use)
e;r
Sb
LEGAL DESCRIPTION (office use only)
LOT ~LOCK '3 ADDITION
PID ' 1- () d 7
(Phone) 15. >-</<Ib ...<lb~:>-
S~ J
I OWNER
(Name)
(Address)
~~ ~~romGr
APPLICA
(Name)
(Address)
410 WEST LAKE STREET
MINNEAPOliS, MN 554()8.2998
612-824-2656
(Address) ell) I ~
(Phone)
(Contact Person)
(City)
(Zip Code)
....APPLICANT SIGNATURE
ATE
I J
~/"J-C(ID5
(Phone)
APPLICAN LEA E COMPLETE BELOW
DNEW CONSTRUCTION REPLACEMENT D AL TERA TIONS / ~
~ MAKE AND MODEL l,J oR K !-fL{~ FUEL € ~ rc U
FLUE SIZE RETURN OPENINGS INPUT .J..3...lf~ OUTPUT
TYPE OF 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
DWarm Air Plants
DGravity
o Mechanical
~ir Conditioning
[jvent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
~05o
Building Permit # 0 -..-. (. Z] 'L.
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 39~'5o
$ .50
$ LfO. 0C:)
lice Use Only)
Building Official
Date
Paid ~, d)
Date.? '~I .--
....;,...) . (> J
Receipt No. ~f;& 70
By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245