HomeMy WebLinkAboutMECHANICAL 08-0029
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CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
mO\.AJ~'S ir I St
:;:~. I PERMIT NO. 0li:1i011J
Applicant .
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) hi .Qj
(Address) 5'b 3 ()
Vo .~~-\-
mCW-Q~' 'T r
Q1)2' 2?J ~ so Z. 7-
(phone) "0
ST
APPLICANT
(Name)
(Address)
SEDGWICK HeATINO & AIR CONDITIONING llC
8i:il0 Wentworth AVI;; Sc
Mi~lis, MN b0420
(952) 881-9000
?
(Phone)
(City)
(Zip Code)
(Contact Person)
(phone)
DATE
I !5 Us
APPLICANT SIGNATURE
DNEW CONSTRUCTION lQ. REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL LLn no x ol,OUf-.\ V3GA0'7o FUEL
FLUE SIZE RETURN OPENINGS INPUT 7C; OOi..1 OUTPUT 5G, 000
,
TYPE OF SYSTEM HEATING OR POWER PLANT
tfWann Air Plants PLEASE NOTE: Air Conditioner
o Steam Units and Fireplaces Cannot Encroach
OGravity o Hot Water into Required Side Yard Setbacks.
~ Mechanical o Radiation
":E1Air Conditioning o Special Devices Fireplaces with Box Additions or
OVent. System o Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
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
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ '1, IS, 00
Building Permit #
(Office Use Only)
HEA TIN G PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
39..5 0
.50
Lf V. 00
This Application Becomes Your Building Permit When Approved
Date
Paid 4-(/ cJv
Date/. 2-8 . 08'
Receipt No.
~ (4-.3
Buildin!! Official
By.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372