HomeMy WebLinkAboutHeating 06-0558
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(P. Zl.O(P
~. ~::n ~:;y I PERMIT NO. 0/- 05cd
3. Yellow Apphcant , (Q" ..:Jg
ZONING (office use)
15112 Appaloosa Trail NE
LOT
BLOCK
ADDITION
PID Z:). 30+. 005, Q I
LEGAL DESCRIPTION (office use only)
OWNER
(Name) Gary Ostrem
(Phone) 9 5 2 - 4 4 0 - 4 6 4 6
(Address) 15112 A aloosa Trail N'
APPLICANT
(Name) RON IS MECHANI CAL, INC.
(Phone) 952-445-8585
(Address)
12010 OLD
RD
SHAKOPEE MN
(City)
55379
(Zip Code)
APPLICANT SIGNATURE
V\Cl iAfjvV
(Phone)
DATE
(Contact Person)
APPLICANT PLEAS COMPLETE BELOW
DNEW CONSTRUCTION REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
OWarm Air Plants
DGravity
O)'lechanical
[0'Air Conditioning
OVen!. System
REA TlNG 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
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
,0y)OO
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
~.t?
.50
Lfb.on
lice lIse Only)
Date
paid4o,O 0
Date~. 22. {)(;,
This Application Becomes Your Building Permit When Approved
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372