HomeMy WebLinkAboutMech Permit 06-0203
ADDRESS
CITY OF PRIOR LAKE
HEATING/AIR CONDlTlONINGIFIREPLACE PERMIT 3, Z7,ofo
Closed UJiy-A (Jorc" AvbM (lv. Of)
?~rmJ'-;- Ob--L/9 ~~i:~~;w l~~icant PERMITNO'06.ozo
piOoDsrD6 ~.
Date Rec'd
5(; 7 /
ZONING (offiee use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z5"' 011. 0 (j fi, ()
I OWNER
(Name)
(Address)
(Phone)
(Contact Person)
21 Ceo f
~off
- f/:'j__l~~c.)l7{,
VI r-^,~~ ;tv-(
(Address)
(Phone) & /2 ,. V / cf- C/ Z-c.f L
/'1~u;-1t
(City)
~'1l/
(Zip Code)
APPLICANT ~ ~i.
(Name) , >>-e-J
(Address)
APPLICANT SIGNATURE
(Phone)
DATE
J 12-7 1,' ~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
OWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. stem
HEATING OR POWER PLANT
o Steam
D Hot Water
D Radiation
o Special Devices
D 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.
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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$ ..39.50
$ .50
$ +O~tJ()
'flee Use Only)
fhis Application Becomes Your Building Permit When Approved
Paid
BuiIdin!! Official
Date
LA,.J
Dat7:J-l db
No 511 Y7
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372