HomeMy WebLinkAboutHeating 06-0653
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CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ~:n ~~~ I PERMIT NO.()/_. /-. c-~ I
3. Yellow Applicant , <P cp"-J'V
ADDRESls" d--- t="reA"vtoYd- ,4CJ€, AJ<AJ
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
;:)onelfS?-- C/C/O~~I
(Address)
APPLICANT
(Name)
(Phone)
STANDARD HEATING & AIR CONDITIONING
(Address) 410 WEST LAKE STREET
MIN~~!ffghIS, MN 55408
~ ^. l'!C:,., 612-824-2656
(Contact Person)~- fVl{;t.-w:f;c .lc::.....
(City)
(Zip Code)
(Phone)
..,.
APPLICANT SIGNATURE
TE
-'7
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
.~r Conditioning
'1]\!ent System
ASE COMPLETE BELOW
REPLACEMENT D AL TERA TrONS I '-- 4
1 ~ S FUEL -et~g::C(tC./
INPUT ?:p, eeo OUTPUT
REA TING OR POWER PLANT
FLUE SIZE
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
$64.50
$39.50
Residential. Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
Residential. Additions & Altera.~..i..' ns
Residential, AC Only I
$39.50
$39.50
Estimated Cost $ ~ ~SO
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~q ..50
$ ':[) .50
$-Y .OCJ
'ffice lIse Only)
Date
By
fhis Application Becomes Your Building Permit When Approved Paid
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245