HomeMy WebLinkAboutMech Permit 02-1392
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please type or orint and sim at bottom)
ADDRESS
I ~lo81 Q~'l \", \\~ -A---J NW
1 Pink Fi~e PERMIT NOrJ~ - (39 "1-
2, Green cuy ,cr--
), Yellow Applicant
. ZONING (office use) .
I ~/S[)
. LEGAL DESCRIPTION (office use only)
LOT I q BLOCK5 ADDITION J ~~d U, 0 0 rJ (5+
OWNER ~ _
(Name) r'LLr<:Lu.... Enoa-
V ~
(Address) I '::::>lp f)" ~"\ \ '"hE'_-,
PIDd.5-IL-r~ ,058-0
M.NW
)
~\or
(Phone) C\ D~-~O -y~tj
\I) r-\ (~::::S2> J;;)...
LuKe
,
APPLICANT
(Name)
(Phon
Wohlers Southside Htg. & Air, Inc.
6950 W. 146th St., #106 -
Apple Valley, MN 55124
(952) 431-7099
(Address)
(Address)
(Contact Person) L:::clr.. ~~\e6
APPLICANT SIGNATURE Cb..n.tJ)jL L0~
(Phont.J
DATE
1a-X1-0d-
rl
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~Ll d: U & P r.. D -, cAut-R FUEL ~ QIUrQ... \.
FLUE SIZE RETURN OPENINGS INPUT ,~/yy, OUTPUT ~ (XX)
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
, . OGravity
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
".
REQUEST FOR INSPECTION
SENT TO HOMEOWNER. NO
. RESPONSE - CLOSE FILE
4/2003
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
1'70 01 JOO \;Ql>l
$39.50 minimum
$99.50
$64.50
,,~....~~...._., _as Fireplace
$39.50
Residential, Heating & AlC (New Construction)
Residential. Heating Only (New Construction)
Residential. Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $ \ q rn-:-
I
Building Pennit #
HEA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PE:&\1IT FEE
$
$
$
~q.50
.50
Llo . CO
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
paid~O. e<J
Dati o..-o? (;1-0 ~
Receipt No.O r, i
'-/;)... f 0
By ~
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