HomeMy WebLinkAboutMechanical Permit #01-0540
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CITY OF PRIIOR LAKE
REA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and siRIl at bottom)
ADDRESS
~60 \lQ.()~ ~t. ~. ~,
~: ~:n ~!~ PERMIT NO.A j L:~ 17\
3. Yellow Applicant (/ I ~7U
ZONING (office use)
~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION ~C)'€.L-i- ~ Co
- I
PI~5-qjb- Oab-C~
OWNER
(N ame)
(' AAf ~C(j C C-10 ~Sl- B-VllI <W\)
(Phone) ~, 2- iY(-~~ q
(Address)
APPLICANT
(Name) . ~'<(\'i>V\\lA- \-\w,..~~ 4~\(;...
(Address) \~\..\.<6 \ Qh~ \.S~ A.,:). S~
(Address)
(Phone)
q8~-<ic,4-00~
(City)
(Zip Code)
(Contact Person)
~f3cX~
(Phone)
DATE
5'-30 -ot
APPLICANT SIGNATURE
APPLICANT PLE,^S_E COMPLETE BELOW
fi- C. DNEW CONSTRUCTION .~P'LACEMENT 0 AL TERA TIONS
;'t;R~AKE AND MODEL L-e.A"\(\OX l 0 A-C..BQ. '-t B lOt--.:> FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HI:;' A. 'T"T' T - -
It(f
DWarm Air Plants
DGravity
o Mechanical
"'2fAir Conditioning
, :JVent. System
10/03/2001
CLOSED DUE TO
INACTIVITY
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
($39.5.0
Estimated Cost $ /000. 00
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMI. FEE
$
$
$
3q.~u
.50
Lf l) .no
(Office Use Only)
This Application Becomes Your Building Permit When Approl'ed
Building Official
Date
paidL/O ~OO
DatO"'/_O I
ReC!lf(;, ~O
BY~
24 hour notice for all inspections (9:52) 447-9850, fax (952) 447-4245