HomeMy WebLinkAboutMechanical 03-0588
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 11/03
Date Rec'd
~.Ir,- OJ
~!:y I PERMITNO'A~_OL:""a(Jj I
Applicant ~ ::::Jz;1 V
,
WNING (office use)
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If
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PI
-0
OWNER
(Name)
(Phone) qQ-t.fq(P -187<1
(Address)
(Address)
(Contact Person)
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RFTTTD....T r"'~-- PUT OUTPUT
TYPE OF s' REQUEST FOR FINAL
OW~AirP INSPECTION SENT TO
o Gravity R 01-05
o Mechanical HOMEOWNE
OAir ConditiOl U Special Devices
OVent. System 0 Other Devices
POWER PLANT
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
\\~S \\~~~
EE SCHEDULE \\\S ~\\.J~ ll\J~ ~O \)'6
I % of job cost Residential, Gas Fin ~ C" OS~ll ....7 ~11611\)
$3950 minimum ,J-J "\T\~ ~
$99.50 Residential, Additiom \~~C~\ ~-,7.)O
$64.50 Residential, AC Only $3950
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ~ tJOO, 0 ()
Building Permit # IJJ - (/ see
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
$q. '3fJ
f .50
10 .() 0
lice Use Only)
. This Application Becomes Your Building Permit When Approved
pA)44 :Y 5. fro ,03
Building Official Date
pa~. e/lJ
Date
5. .03
4--
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372