HomeMy WebLinkAboutMech Permit 02-1382
_~/21102 flU 08:36 FAX 6124474245
CITY OF PRIOR lAKE
I4J 001
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
1. Pink
1. 0.-
3. Vellow
$,-1 PERMIT NOO~ -13~ ~
11 ZONnro,_~ I
[~~;/~~::
J
Lllk~7?I.
LEGAL DESCRIPTION (oma \I5C only)
LOT BLOCK
ADDmON
pm
~~?A,I !I~/A~;z.-
(Address) J 1/
(phone) 95;.~L(I/'1"'OB33
Rei
~~;~~ANT X/'tvE:' livRe p,c
{Address} /301S t1~l/tV ~AI/
(Address)
(Contact Person) o)J /J
(phone) 112-fl/l-tj.J/!
r M", 7}~/rlC/
(City)
(Phone) 9S;;"'9wr IfJ.//
DATE
553'11
(Zip Code)
.R]NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL t.UIM'( 6 3J-a 3'H 0 0 FUEL ,vAt
FLUE SIZE .3" pV ( RETURN OPENINGS INPUT OUTPUT
/11J(.' -4lJC.jw"k TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air PllIJ\ts o Steam PLEASE NOTE:
Lt.i/\.atI.. 1-1'$14-03" OGravity M Hot Water Air Conditioner Units
~1~A(,.. I Mechanical . Cannot Encroach into
. Air Conditioning REQUEST FOR INSPECTION Required Side Yard
gvent. System SENT TO HOMEOWNER. NO Setbacks
FIREPLACE MAKE AND MODEL RESPONSE - CLOSE FILE
APPLICANT PLEASE COMPLETE BELOW
4/2003
Industrial. Commercial & Multi-Family ~ 1% of jOb ~; - - .
$39.50 minimum
RQidentiaJ. Heating &. Ale (New CMlstructi n) _$99.50
Residential, Heating Only (New Constructio ) $64.50
EstimatedCost.$ f]600.
Residential. Additiol'ls &. AI~rations
Residential, AC Only
$:39.50
$39.50
$:39,50
Residential, Gas Fireplace
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 9?-jo
t~
(omre Use Only)
This Application Becomes Your BlIilcUng Permit When Approved
Dllte
. . BuildiPIJ Offid.I
24 hour norice far aU inspections (952) &47-9850, fu (951) 447-4245