HomeMy WebLinkAboutMechanical Permit 15. 1384 g 0c It n 000000 0 Eo
n n a 000 7373z . 0 gzcio8 z m k m/
k -i Z M m - rr § Z § z k -4-a
% M � % z -11 §® § Q P Zk
ro . 0 ■ 07 n z 2 § ■
§ ■ 0 » z � �
% 0 / > \ - mm
� r o .
4. m O k k
o ❑ OcaO
§ cl-
x § mm
i� 4_ ■ -0to ■ sem
* § o § 0E , 0, .
z f ■
) z ■ m1s -a n ■
' \ m ' § z Z T M
Z Xi k . m
he q o 0 111 � z § 2 - � � a
z ' m . r � � P §
k 0 ;
.4 k n` ..
2 f
■_ m . 040 0 0 ,
z 0112 § §
# 0 @ ■ mm ■ Q -
k Z m A-0
4 in Al � ■ � F 2
§ r 0 m
#3461223 - 0015 Date Rec'd
04,g0 VA,.,
CITY OF PRIOR LAKE
e HEATING/AIR CONDITIONING/FIREPLACE PERMIT 1/ e (S-
F, xxi .: c
UVia' ': to
44 1.
Ev
PERMIT NO. '3�5Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
6394 CONROY ST NE
LEGAL DESCRIPTION(o ce use only)
LOT B� �T PID 25—/i(I-008' O
OWNER ELIZABETH & CURTIS WITT
(Name) (Phone) #952-237-1820
(Address) 6394 CONROY ST NE
APPLICANT #651-633-2561
(Name) Fireside Hearth & Home (Phone)
(Address) 2700 Faireview Ave N Roseville, MN 55113
(Contact Person) Leah Lodermeier_ / / (Phone) #651-638-3312
APPLICANT SIGNATURE 14 L c e1' DATE 11/10/15
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
❑Gravity DHot Water into Required Side Yard Setbacks.
❑Mechanical ❑Radiation Fireplaces with Box Additions or
❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
❑Vent. System ❑Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL HHT/ SUPREME-I30-C
FEE SCHEDULE
Industrial,Commercial&Multi Family 1%of job cost Residential,Gas Fireplace $49.50
$49.50 minimum
Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid 50 50 Receipt No. ; 23
///7 /5
Building Official Date •
Date/1
. By
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372