HomeMy WebLinkAboutMechanical Permit 15. 0759 J
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o� r�O� CITY OF PRIOR LAKE ( Date
HEATING/AIR CONDITIONING/FIREPLACE Rec'd
4 PERMIT �J I
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1.Pink n ciFiltye PE
'lease j, or , at bottom GreePERMIT NO.
ADDRESS 3.Yellow Applicant O
� I ? C2 - R. ✓V ZONING(office use)
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kb
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LEGDESCRIPTION(office use only)
LOT
BLOCK ADDITION 5-'4/In 104.gje- i Aeo stf
OWNER PID 67,.. /3 .06I
(Name) Ilk C.10 I &11 e'^
•- (q
(Address) 40 (Phone) CDJd T
APPLICANT •
(Name) w
. . ti - . - ,.2415 Annapolis Lane N. (Phone) 3� L�/ I • —
(Address) _ #170
(Contact Person) ,._ (City) (Zip Code)
APPLICANT1:�—_� (Phone) b 3 �� � �y
DATE ,�S
APPLICANT PL . , S . COMPLETE BELOW
:NEW CONSTRUCTION ! ' PLACEMENT
❑ITERATIONS
FURNACE MAKE AND MOD-- A
40 FLUE SIZE � M M FUEL �/,,4.-1 I�,r2S
RETURN OPENINGS
TYPE OF SYSTEM INPUT av OUTPUT
HEATING OR POWER PLANT
❑Wane Air Plants ti fo vcc PLEASE NOTE: Air Conditioner
DGravity �, ❑Steam
Mechanical 0Hot Water Units and Fireplaces Cannot Encroach
�'f.1Air Conditioning ❑Radiation into Required Side Yard Setbacks.
r Vent.System 0 Special Devices Fireplaces with Box Additions or
0 Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Industrial,Commercial&Multi-Famil y 1/o u FEE SCHEDULE
of job cost
Residential,Heating&A/C Residential,Gas Fireplace
$49.50 minimum $49.50
Residential,HeatingOnly (New Construction) $149.50
(New Construction) $64.50 Residential,AdditionsC &Alterations
Residential,AC Only $49.50
$49.50
Estimated Cost$ Building Permit #
HEATING PERMIT FEE $ 417....50
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only) ,, 6
This Application Becomes Your Building Permit When Approved v9 Ula
Receipt No. tif
Building Official Date B
Date y
A
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372