HomeMy WebLinkAboutHeating 07-0035
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/ (2. 3/07
at bottom)
~. So".. El~ic~lt I PERMIT NO.O'7 - ~ 0 s ) I
ADDRESS
51) 0,:). L" d. !-k r/7. c __ {.;, i..( ~E
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER A
(Name) t~<" "" + Te,-..,'~
. (,) f"t - .J.<:.> ",.. L. ,).00
fJ/~)..n'K
(Phone)
(Address) S II ~ -
APPLICANT /J.. / /
(Name) (I; II -'1M lof.. PI u-'.!,;'<)' f- f'ke. r;...,' J ~.
(Phone)
(~fJ) tro/~ f~~tj
(Address)
)lfJo
Jvd Aw LJ
APPLICANT SIGNATURE
(Address)
ejl';J.,.J .L If W~ l)
2h
Sh/c..,~ , /11 AI
(City)
rrJ/9
(Zip Code)
(Contact Person) A r {(
(Phone)
.$ 4 ,.,;
DNEW CONSTRUCTION o REPLACEMENT gAL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity t iN~/ D Hot Water Air Conditioner Units
o Mechanical p..' 'f{ o Radiation Cannot Encroach into
DAir Conditioning ,r D Special Devices Required Side Yard
~V ent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
DATE /- /7-0"
APPLICANT PLEASE COMPLETE BELOW
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ d, S.:>~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ 3'1- So
$ .50
~'I
$ I), (..\)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
~ ~ 1/;2..3/07
Duildin!! Official Date
Receipt No. 52735
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245