HomeMy WebLinkAboutHeating 07-1180
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
12-.2-0.01
~. ~::n ~it: I PERMIT NO. 07//80
3 Yellow Applicant . ' )
ZONING (office use)
c~d-3
;cZA<~ ;{J J J~'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~
~-CJ b
S[!t l---O--e/VLJ ;e.-J...-L.J
(Phone) Cj~"" d- d d-'f b 0'//
(Address) ,<.; ~-rr') e
APPLICANT
(Name)
(Phone) 7 S' J.- E&-) Y C/O 0 r-
BURNSVIllE HEATING & AlC, lNC.
J451 W, Bull tsvllle Paltway
Suite 120
C B_um~. -. 55837
(Contact Person) ~z. J.. If... H ~
APPLICANT SIGNATU~( -- d---t~\.
(Address)
/-
dtL.~-If
(City) (Zip Code)
(Phone) q s,~ () (f.?) V 0 C';'O r'
DATE / d-- /3 'C' 7
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ?:Jj<...f/~~7 FUEL '77~
FLUE SIZE RETURN OPENINGS INPUT h {;, oec OUTPUT 6l/00d
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
~Gravity
Mechanical
Air Conditioning c;2 ~
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
31 s-V
.50
~t) .00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Paid 40.00
Date l L, 2,0. VI
Receipt No. 551 Q3
B
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372