HomeMy WebLinkAboutHEATING 05-0989
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THIS FILE HAS BEEN
CLOSED DUE TO
INACTIVI1Y 4/18/2008
CITY OF PRIOR LAKE
IR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
35/{)
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 10-06
W
~:~y I PERMIT NO. /)!:J-'- 9 f9
Apphcant V I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
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PID ;1 ()-
_:hone)_~Lf_~~~~/~__ _1
OVfNER .
(Name) S Vt -e 112m s If- h
(Address) :;5/ D p;1I~$.lAJ/)od
(Phone) g 1 Jj- I)!J D5
5583
(Zip Code)
(Contact Person) ----12L.~
APPLICANT SIGNATURE J3-el-h tJ i ~/L-eVSbY7
(Phone) g 14.. D/)/)5
DATE 1... 3/J 'lJ 5"
APPLICANT PLEA COMPLETE BELOW
DNEW CONSTRUCTION REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~~Vl V10i- ~ (, Lrn(Jv:~/'e..()q{) FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
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
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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
TOTAL PERMIT FEE
$ 31. '56
$ . .50
$ Lf/) · fJV
"'ce Use Only)
Building Official
Date
Date
.is Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372