HomeMy WebLinkAboutHeating 06-0829
5' 0 CJ. 0 0)(0 CI CIC1 -u 0 >- -0
III ::J: ~ C z_
a: :E 0 en'TIz'TI'TI'TI 0 C ~~
8 0 ~ 0 i: :::::jzen~OO z m ;:0 mo
> :;u :;: ~>ca:~~ m ;:0 m O'TI
l;: r- ~ " zr"">zcz z en ::Iou
r- en m p en
~ t > z ~ ::!Gl~Gl 0;:0
z-
-I -4 m 0 - ~ zO
to ~ Ui en o z 0
s ~ ~ -I Z 0::U
CD (5 ::1>
~ (ft ?' 0
0 -I Z 0"
'TI 0 0 mm
~ 0 > ~
::u r-
~ -I r""
'TI -u
. ::J: 0 :;u
~ m :;u 0 C1DDDCICI
z ::u 0
~ m m m !:-uen:EI:"
X m
-I Z 0 mr-~)limr-
:.tI en OC -IOC
i ti z ~ " ;1:1: m;l:!: " 0 en
en m 'TI!!!::U::U::U!!! m 0 0
Q ~ " ::l 0 zzxx-z ::u z ... ::J:
::! m (1) -I >Ci)00 Ci) i: -t t m
::!. (5
~ 0 0 r-'TIOO ::u :::::j ;:0 C
-I 0 Z -"" - C
~ 0 a lD Zcc Z r-
~"" p m
Z ~ m f' c
~ 'TI
N 0
....
~ ::J: ::u ~
0 m "
~ 0
C 0
::u < CIC1C1C1C1C1 t
en m
~ Z ::u Gl'TI'TIO~ ~ ~
>- Z >;0;00
Ao Ci) f!!mmi:Ci) m
~ ~ _"'U'U~
~ z ifi5:5:5:o
0 >oOz;;
~ rn _mm-l_ ...
::U'TI::U r""
-1-- r- i
enZ z m
-I~ Ci)
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File
2. Green City
3. Yellow Applicant
ZONING (office
llse)
~5SC \~\QI
\&0 LIt' U
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID,$. ISS. 0/3,lJ
OWNER L \ ,'r ri
(Name) \ nC jc. CJ .
(Phone) q C>--~, Y L.\ 0 Co I (). d.
')
\ I L1-l
APPLICANl . , .
(Name) ( (X,D:. () \ \ 0 c-\ ~ r
(Addr~\~ \ (') t~c. t-01\ \~\ )0
(Address)
(Phone) IrE'> \ -l-lloG- (0(') a~
\-0, \-'\\1 21f[()
(City
~~C~~y
(Zip Code)
.,.,,: J
'\
(Contact Person) .
(Phone)
.~ - dC~~
1o-t.P
DATE C~
L ANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION II}Kffi>LACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL T re, \-*_ '/....L 0, C ~l..... 'f.- \! 0) (j FUEL N G
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
DWarm Air Plants
DGravity
o Mechanical
Ga7\.ir 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
TYPE OF SYSTEM
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 $ t l") . L.j 1 0 (I C
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ .2IC\':::JO
$ .50
$ Y G. () 0
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
+0.0(1
~ J/"d~
Receipt Nt'.
5z-z-- 9
Buildine Official
Date
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245