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HomeMy WebLinkAboutMech Permit 02-0156 CITY OF PRIOR LAKE REA TING/ AIR CONDITIONINGIFIREPLACE PERMIT Date Rec\ 2-/tf- 02- 1. Pink File 2. Green City 3. Yellow Applicant PERMIT NO'oz-o/5fp (Please type or print and siJm at bottom) ADDRESS 15741 WEST AV SE . ZONING (office use) ~/SJ) LEGAL DESCRIPTION (office use only) LOT4 BLOCK ADDITION PID25 - 041- 0 () z.. - 0 OWNER (Name) SANDRA TOFANELLI (Phone) 952-440-5582 (Address) 15741 WEST AV SE APPLICANT (Name) RON I S MECHANICAL, INC. (Address) 12010 OLD BRICK YARD RD (Address) (Phone) 952-445-8585 SHAKOPEE MN (City) 55379 (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE $N.iQ.. ~~ APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION }?J REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL c.o.y\"\ev t:":5~WA"O":tO FUEL ~ GI FLUE SIZE RETURN OPENINGS INPUT ':.\-0.000 OUTPUT 5G:J. (!)CJO DATE 2. -I q. 0'2- TYPE OF SYSTEM HEATINGORPO~RPLANT OWarm Air Plants ~GraVity Mechanical . Air Conditioning OVent. System REQUEST FOR INSPECTION SENT TO HOMEOWNER. NO RESPONSE - CLOSE FILE 4/2003 PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks 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 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ ~r;DO Building Permit # O-z,- 0/5& REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ :S9.s0 $ .50 $ '10.00--- (Office Use Only) This APPII'W" You. Boildlo&;..e::;q ~e~proved Building Official Date Paid 40 . (rO Date -v1 q 'f) '7/ Receipt N~/Z32 BYf4( / 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245