HomeMy WebLinkAboutMechanical 06-0985
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3 Yellow
~~:y I PERMIT NO. Oc, ? a r::: I
Applicant . ::;:;
ZONING (office use)
l
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone) Cf)) ..Jfl.f- 0/ Y I
(Address)
APPLICANT
(Name) RON I S MECHANICAL, INC.
(Phone) 9 5 2 - 4 4 5 8 5 8 5
(Address)
12010
RD
SHAKOPEE
(City)
MN
55379
(Zip Code)
APPLICANT SIGNATURE
(Phone)
DATE
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION PLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL \.t,V\.,~ LF2.'-l-1-5 ~ClJUi}~ ~ FUEL ~b
FLUE SIZE RETURN OPENINGS INPUT :t-o,ooD OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir 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
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
fJice llse Only)
Building Official
Date
Paid 40,0 V
Date to ,30.0&
Chis Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372