HomeMy WebLinkAboutMech Permit 02-1223
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
f-:JO-02-
~::~ ~!:y. I PERMIT NOVl? -/ ?? 7
3. Vellow Apphcaol V'" ""'...J
('~, (Phone)
~nr\ }:}1 IzuJ
t ~ f..1M:..(Phone) 9s ;l-~t!J3-///D
~ SS-.377'
(Ci~ (Zip Code)
(Phone) VI ..r- -1 - ~ 0 3 --/1./ ()
9 - .2.$'-0 z..
APPLICAN~ II
(Name) q~~"J; ~ Hea.-f,'(J. V '
(Address) I:l. 'i I J.. f tle41.~ ~ Lla r f 7
(Contact Person) ~~.b R;:e:e- \ /
APPLICANT SIGNATURE dl ~ f- ~ ...:.:J
, 0- --
APPLICANT PLEASE COMP OW
DNEW CONSTRUCTION []}<<EPLAC 0 AL TERA TIONS
FURNACE MAKE AND MODEL ar~;tl' r .e:r-,B..Jn U - - t./ FUEL -.A)aiu ro.1l
FLUE SIZE RETURN OPENINGS (/, \ ^ . INPUT OUTPUT
TYPE OF SYSTEM rtP~ H~~TINGORPOWE,l\~
~arm Air Plants V 0 Steam D./ U PLEASE NOTE:
o Gravity 0 Hot Water I Air Conditioner Units
o Mechanical 0 Radiation L Cannot Encroach into
OAir Conditioning 0 Special Devices _ Required Side Yard
OVent. System 0 Other Devices Setbacks
(Please type or print and sign at bottom)
ADDRESS /J..- 'I:: '+
cfI /p ijo ~ <: an fee ~f1I' I ~ 5;0 {}()1'J;f1k Ufrl J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER 1/... i..
(Name) 7\ ~- . i-b .JJ e_l1 ~I'l
(Address) ,? ~ifo ....._'aaJe t!?. //'a. ~ I
; 1-('0 t2/
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Permit # 0 Z - /Z-Z- ")
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.3 9. S7J
.50
#D-/n)
$
$
$
(Office Use Only)
This Applicati~nA~e'1es Your Building Permit When Approved
PJP\iJ q. ~6. ()?-
Building Official Date
Paid A> J
~O .. V\./
Date
~. , l CJ. <f1.-..
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
ZONING (office use)
PID
..y~~"'OJ9~
,_" :?7,:;L
$39.50
$39.50
$39.50
Receipt ~30'?8
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