HomeMy WebLinkAboutMechanical 07-0439
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i ~~~w ~l~lcant I PERMIT NO. 07. 0437 I
ZONING (office
use)
~4.S co-. AJ ~ 'S -t'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z.
OWNER
(Name) --.J Ol ";) 0 ,--. e 0 L^)~ h 0 ,r s -t
1..\'2-- Bi.:.>") - 11"-(11
(Phone)
(Address) /l,:> 2-- '3
S't
..e...
APPLICANT
(Name)
(Address)
,..'?'.~'!CK HEATING & AIR CONDITIONING ltl.;
...:'-.1 10 Wentworth Ave:
Minneapolis, MN 5542;,
(952) B8L9000
(Address)
(City)
(Phone)
(Contact Person)
(Phone)
vt: I.f-^-- Q Ll~ DATE .s 2- '1 tJ l
APPLICANT PLEASE COMPLETE BELOW
APPLICANT SIGNATURE
(Zip Code)
DNEW CONSTRUCTION ~ REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL U-,v, Y'\ oX 6blMPv30!31/ FUEL 6<\...~
FLUE SIZE RETURN OPENINGS INPUT '7 I ( coo OUTPUT b/('1'30
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
.::tsr Mechanical D Radiation Cannot Encroach into
0Air Conditioning D Special Devices Required Side Yard
DVent System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ 3"1. so
$ .50
$ ~"-tO .60
$39.50
$39.50
$39,50
This Application Becomes Your Building Permit When Approved
Paid Li4'1 1 '
7VlW
Date/. (/(. )
t.c ,t ., &,.
;J
Rec' tNo. 53 Yj
(Office Use Only)
Buildin!! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245