HomeMy WebLinkAboutMechanical 06-1007
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec' d
1/. ft,. Ob
~. ~;;c~n ~!:;y I PERMIT NO. ~. / 0 ~ 7
3. Yellow Applicant , _
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNE~ 1
(Name) \'C L
Y3-eriS) l e Y1
(Phone) q 9 -If/j7-,f- 95
(Address)
APPLICANT
(Name)
(Address)
~
'1 ) r"_. \ ,
c;;L f 0 CJ Jt-U I Y' tJ I .e fJ
(A~dress)
\
(Phone) 96~-- ~LJ S - 379 ;J
If() ~. RasRul'j/~-II!IJt/, %/L~
, (City) , (Zip Code)
(Phone) q~-2, 5Z((:;'-_~~97
t DATE Ih'
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
j~
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
'ffice Use Only)
Buildinl! Official
Date
Paid 4-0. () 0
Date J (. ~ , v&
o..5U30
j'his 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