HomeMy WebLinkAboutMechanical 07-1062
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
II 5. 07
t ~:~~w J;~icant I PERMIT NO. 7. 10 (P 2-1
ZONING (office use)
ADDRESS
/5927
~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICANT , '\ \ I L
(Name) f>t"\ C)r Lc...Kc.... ~c;:/~.fI G
(Address) /~S'Xi fb,bbJe- ~r-ODk. c,t-
(Address)
(Phone) 9S"J.-4 'I7--iY/ J(J
Pr', 0 r L~Kc- /lJA.) SS3 7 ~
(City) (Zip Code)
(Contact Person)
(Phone)
DATE 1/-S~tXJ7
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ,REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~inle.r-\(~n ~\~ FUEL }JIlT
,
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
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.
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
31,S[)
.50
+0.00
(Office Use Only)
Buildin!! Official
Date
Paid ~O. () 0
Date /I, 5.07
Receipt No. 54-8 ~
By,
This 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