HomeMy WebLinkAboutMechanical Permit #01-0481
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CITY OF PRIOR LAKE
REA TING/ AIR CONDITIOl'rING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
NING (office use)
fS
PID~(7l~ OtJ5~
(Phone)~.z- .Jj-?tp-2W..251
ADDRESS
1328/ lIennil1
CiJ'1c/e )(/ S ..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
t-
OWNER
(N ame)
Linda ~enff7C1/)
'tUJ1e t:i8 & ~
(Address)
APPLICANT /I .-1 ~p~ /l~
(Name) HUI/a/J.-.Z- /fir-( //tb - (Phone) ?.6::2 -Z/vS-/900
(Address) 9,ZS /-OO-lj? J'/.. tV, c01tt~~e / /J/N S5b7C;
/J (Address) , (City) (Zip Code)
(Contact Person) IJeIA./ (Phone) t?6:2-t./v5 -/960
APPLICANT SIGNATURE DATE 5-/~-o/
APPLICANT PLEASE COMPLETE BELOW
Ie. DNEW CONSTRUCTION REPLACEMENT 0 AL TERA TIONS
MAKEANDMoDELlftYlmo/~ C,e/3~~ R:fflL 8 /crJs
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
~ir Conditioning
DVent. System
HEATINGORPOWRR PT.ANT
10/03/2001
CLOSED DlJE 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)
$190
L$39.50
Estimated Cost ~
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ a,!,50
$ .50
$ rOJ nO
(Office Use Only)
This Application Becomes Your Building Permit When APprov~
Building Official Date =-J
24 hour notice for all inspections (9:52) 447-9850, fax (952) 447-4245
Paid L/tJ" 0 0
Date~-d.l_O {