HomeMy WebLinkAboutMechanical 07-0977
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:n ~i~ I PERMIT NO. 07. 011--11
3. Yellow Applicant , -LJ
ZONING (office use)
3!~ 2. 116\"1 'S{- S vV
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill 2-$'-. Z-4--1. 00 r- 0
OWNER t2 i r ^ _
(Name) ---.LJ{) 0 t-\tY I 'j
(Address) ~ je1 2- ( ---; (:> \h ~ -t vv
(phone) cr '\2 L( ~J-3 '5 u /
APPLICANT
(Name)
SEI'lGWICK HEAliNG & AIR CONDITIONING LLC
8910 Wentworth Ave. So
Minn~~~l MN 55420
( 52) 8B 1-9000
(phone)
(Address)
(City)
(Zip Code)
(Contact Person)
(phone)
DATE.
APPLICANT SIGNATURE
DNEW CONSTRUCTION Q9 REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL lJ...vJnuJ( 660bF::S6Ao/o FUEL ~C\.S
FLUE SIZE RETURN OPENINGS INPUT '70, oc.o OUTPUT S''''' r () 00
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants PLEASE NOTE: Air Conditioner
o Steam Units and Fireplaces Cannot Encroach
o Gravity o Hot Water into Required Side Yard Setbacks.
o Mechanical o Radiation
DAir Conditioning o Special Devices Fireplaces with Box Additions or
DVent. System o Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEA TIN G PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
37'. S 6
.50
'-1 () . OC
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
Paid +0. 00
Date 10. 10 . ()
. 54-82.3
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372