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9 HEATING/AIR CONDITIONING/FIREPLACE PERMIT 2 Z0, 07
41INNES00 2.PPG:en Ci tyPERMIT NO.
0036
(Please 3.Yellow Applicant V /r
type or print and sign at bottom) -r-
ADDRESS ZONING(office use)
14620 OAKLAND BEACH AVE SO EAST
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) STEVE MOSEY (Phone) 952-440-6611
(Address) 14620 OAKLAND BEACH AVE SO. EAST PRIOR LAKE 55372
APPLICANT
(Name) TEAM MECHANICAL INC (Phone) 612-729-5646
(Address) 3508 SNELLING AVE MPLS MN 55406
(Address) (City) (Zip Code)
(Contact Person) MIKE CARLSON (Phone) 612-369-1089
APPLICANT SIGNATURE DATE 2-18-09
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION 12 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL BTRHAM P204 FUEL N G
FLUE SIZE 5" RETURN OPENINGS INPUT OUTPUT
80.640 60.382
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants
0 Steam Units and Fireplaces Cannot Encroach
❑Gravity E Hot Water
❑Mechanical ❑Radiation into Required Side Yard Setbacks.
❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or
❑Vent.System 0 Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
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 $49.50
Estimated Cost$ 2,800.00 Building Permit #
HEATING PERMIT FEE $ 49.50
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ 50.00
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid, e Recet Noo7z#5--
Date Z, ,0 q
Building Official Date /
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372