HomeMy WebLinkAboutHVAC Permit 09-0483
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
~:'icanl \ PERMITNO.O~ 0+-83\
ZONING (office use)
16800 Blind Lake Trail SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
Kevin Sandler
(Phone) 952-226-6007
(Address)
16800 Blind Lake Trail Se Prior Lake
I~~;~~~n's Mec~anica] TDr
\ (Address) 12010 Old Brick yard
I (Address)
\ Linda
. (Contact Person)
I APPLICANT SIGNATURE
Road
(Phone) 952 445 6585
Shakopee 55379
(City)
(Phone) 952-445-8585
(Zip Code)
APPLICANT PLEAS COMPLETE BELOW
ONEW CONSTRUCTION PLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL AC 1tu.u..~ \J.J\ ~ \..O~ :) -\1:1V\ FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
~
DATE
l
OWarm Air Plants
. OGravity
o Mechanical
i!j'"Air Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$49.50
Industrial, Commercial & Multi-Family
~.~
Estimated Cost $
Building Permit '#
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
~.c;O
.50
50.00
$
$
$~
This Application Becomes Your Building Permit When Approved
Paid 50 . dO
Date
(Office Use Only)
Date
Buildlnt!: Official
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372