HomeMy WebLinkAboutMechanical 06-1000
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
ADDRESS
L/2-B', 6rtU/\wood CA,v 10 E
Date Rec'd
/1. .:3.0lP
~ ~i~~o"w 71~icant I PERMIT NO. Ob. /000 I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER J ~._
(Name)~k~ ~on
(Address) Y W, 6'YZLAY\ \AJOOd
L-t.Y N t
(Phone) 05'z,- 835- ZZ.1 b
APPLICANT
(Name)
(Address)
(Contact Person) (l1 O/YI ~
APPLICANT SIGNATURE
(Phone) 1~1. 881- 9006
M \~ S'SY2.6
(City) (Zip Code)
(Phone) ~~Z - bSt - C(OD 0
LV-- DATE / CI2--..J1 (j ~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION EPLACEMENT
FURNACE MAKE AND MODEL l..Q....nV7 D ~ 6You f-I3 to A:o I 0
FLUE SIZE RETURN OPENINGS INPUT
D AL TERA TIONS
FUEL ft ct ~
'70, DDO OUTPUT 5 to, 0u (J
HEATING OR POWER PLANT
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
TYPE OF SYSTEM
~arrn Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $'2-BC)5. () 0
HEA TING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
'flee Use Only)
fhis Application Becomes Your Building Permit When Approved
Buildinl!: Official
Date
PLEASE NOTE: Air Conditioner
U nits and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
$39.50
$39.50
$39.50
Building Permit #
$
$
$
3'}. '50
.50
io.OO
Paid 11). P lJ
Date /1. t,. (I (,
52(,32-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372