HomeMy WebLinkAboutMechanical 06-0983
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
fO .30.0(0
~. ~e:n ~:~ I PERMIT NO. 0(, . 0 t1a.3
3. Yellow Apphcant , L'o
.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
':5
(Address)
(Contact Person)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CO~ &i~A~EMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL . .- . L/)b{;lL1lt~ FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
OGravity
~echanical
C[JAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential. Heating & AIC (New Construction) $99.50 Residential, Additions & Alterations
Residential. Heating Only (New Construction) $64.50 Residential, AC Only
~
Estimated Cost $ dlzrD ' Building Permit #
$39.50
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3Cf?
$ .50
$
Date
Paid # , ro
Date L c) . 3 6. 0 (p
ce t NO'SZ.h ( ()
'ffice llse Only)
lhis Application Becomes Your Building Permit When Approved
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372