HomeMy WebLinkAboutHeating 06-0615
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CITY OF PRIOR LRKE
9524474245
P.01/01
CITY OF PRIOR LAKE
HEATING/AIR CONDmONINGIFIREPLACE PERMIT
Date Rec'd
7./u.O(p
Ave
t ~ s,- [!ERMIT NO. or;. () & 151
I ZONlNG<_-> I
~Jease type Qr ~ md sign at ~L
(Di:S-%"~ il~:\\(l<d<
[LEGAL DESCRIPTION (office ~ only)
_ LOT BLOCK ADDITION
PID.
OWNER c.
(Name) x-CJ'Tl
de Is chbJf'y--.
(Phone) 95'~ G Ld--- 1c,c'!7 "
(Adcmss)
APPLICANT I . ~ .
(Name) ~Ct'('~ 0 ~ T L L{ Y'v\h 11'\1" j -~
(Address) ~~9'C;- J~~ N\. l~ Nlo
(Address)
(Contact Person) W L
(Phone) '\ 63-
.'(}.~v ~ / Yn'N
7 (City)
(Phone)fll.o~
DATE
4d-J- ') h go
~5''3d~
. (Zip Code)
4d-~,)~~
lo~ V7-0~
APPLICANT PLEASE COMPLETE BELOW
(]NEw CONSTRUCTION LACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants 0 Steam
DOm~ DH~W~
~MCC:haniCal r-;-) \ -ill Radiation
Air Conditioning k~ ~~cu 13.::> U Sp"ial Devices
ent. Syste(n 0 Other Devices
I'LEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
fIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial &. Multi-Family 1 % of job cost R.esidential, Gas Fireplace
$39.50 minimum
Residential, Heating &. AlC (New Consnuaion) $99.S0 Residential, Additions & Alterations
Residential, Heating Only (New Constt'UCtion) 564.50 Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $ ~ 9 110
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
~r6l)
.50
1.1.0. m
"
lfIIce .Ule Only)
This Application Become, Your Building Permit When Approved
BuildIng Official
Date
PaId 40.0 0
Date 7 / (), () tp
TOTAL P.01
Reee pt No.
24 hour notice tor 811 'nO:N1..t;nn" (GC?\ .Lf'J_Ollc:^ #_.J ,nJ!'''', .... .....~