HomeMy WebLinkAboutMechanical 07-1072
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Grecn
3. YellO\v
~!;y 1 PERMIT NO. -7_1012-1
Applicant ( __
ADDRESS
3o?O
(~ ~.r
s
ZONING (office use)
ba~{e~~
I
(Phone1S- J-- Wo -V 'sr
PID
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
I OWNER
(Name)
(Address)
APPLICANT
(Name)
S I ANDARD HEATING & AIR CONDITIONING
410 WEST LAKE STREET
MINNEAP:G\~ ~~ 55408-2909
6 - 2~-2656
(Phone)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
ATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONST CnON PLACEMENT D AL TERA nONS / /
FURNACE MAKE AND MODEL ::::.,....- FUEL 11~ ~t(
FLUE SIZE INPUT ) ~ OUTPUT ~2 ) goO
TYPE OF SYSTEM
~Warm Air Plants
-[jbravity
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
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
Estimated Cost $
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
~31
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Re~irlpnti,,1 Additi()n~ & Alterations
Residential, AC Only --
$12j.0
$'39.50
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~q ~SO
.50
'YO - eo
Paid to .()6
Datel \ l!) _ (j
iptNo. Sr;-OlJJ
lice Use Only)
This Application Becomes Your Building Permit When Approved
BuildiRl!: Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372