HomeMy WebLinkAboutMechanical 07-0939
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/0.1.07
1. Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NO. 07.0939:
,
ADDRESS
rrJ PfeqqAn1 5' 5E
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Phone) qIJ2- '+4-7- 2 ql Cj
(Address)
APPLICANT RiJn 5
(Name) ,
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CaNST CTION EPLACEM~N':;' f\ D AL TERA TION~ '"'\ 1_
FURNACE MAKE AND MODEL b'Q L1.J'-V FUEL V L1
FLUE SIZE RETURN OPENINGS INPUT OUTPUT F).l.. ,CtJD
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 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
$39.50
Residential, Heating & AIC (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
$ '3{ . r;[)
$ 50
$~ ,00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
~o,oo
/0, I. () 7
o's+t.tj3
Buildinl! Official
Date
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372