HomeMy WebLinkAboutMechanical Permit #01-1164
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/O-/&;/!YJ/
.,,~;>'
~: ~~:w J;~icant I PERMIT NO. 01-/ / ~4-1
ZONING (office use)
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5&2,'1
fV()()[)J IOC R,O ~
LEGAL DESCRIPTION (office use only)
LOT ..3BLOCK I ADDITION O/f/::::..WOOD H/~
I OWNER
(N ame)
(Address)
", "H;~(..::
"~~~~~ANT J)"L ++0" Dt~) t<owe. J v1l C,
(Address) L ( 2 ~ - 2-") ~.
(Address)
;(c~~~person) ~a V;~WL
":'1tPmCANT SIGNATURE ~ ~ ~
(Phone)
(Phone) 7~ 1- '12 "} - 2.. 3 2.-/
A-,dka- 5'1;"303
(City) (Zip Code)
(Phone) '/ to 3 - '12 7 - Z. ~ 7..1
DATE /0 -/(P-Ol
APPLICANT PLEASE COMPLETE BELOW
FLUE SIZE
DNEW CONSTRUCTION
KEANDMODEL Je-"f,~r
RETURN OPENINGS
TYPE OF SYSTEM
00 REPLACEMENT 0 AL TERA TIONS
T9/Y1PDO,5" FI'- FUEL /f/J, &;...5
INPUT J ~d7K) OUTPUT t:, ~ ~d
HEATING OR POWER PLANT
~Warm Air Plants
DGravity
o Mechanical
~Air Conditioning
DVent. System
n Steam
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
REQUEST FOR INSPECTION
SENT TO HOMEOWNER. NO
RESPONSE - CLOSE FILE
4/2003
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
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit # 0/ - / / (,+-
$ 3q~ 6'0
$ .50
$ 4'0 II (/lJ
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
J{)"~-O ,
Date
pai*. dV
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245