HomeMy WebLinkAboutHeating 06-0746
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
g .liI.O(,
t =w ~~icanl \ PERMIT NO. 0(, . 07+b\
G;;r~ ~~
LEGAL DESCRIYfION (office use only)
ZONING (office
use)
LOT
BLOCK
ADDITION
PID .2 5*. Q3{,. 6 (Cl. 0
OWNER
(Name)
(Phone) ~f~. frlfi?
(Address)
(Address)
(Contact Person)
J DATE
EA E COMPLETE BELOW
REPLACEMENT 0 AL TERA TIONS
FUEL
RETURN OPENINGS
TYPE OF SYSTEM
OWann Air Plants
OGravity
o Mechanical
.erAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ MOO I 00
REA TING PERMIT FEE
ST ATE SURCHARGE
. TOTAL PERMIT FEE
Building Permit #
$ 3 Cf. sv
$_ - ~ 50
$_. f'C! .00
-'
Paid
,CIV
Date 8" 1(, . 0 ("
Receipt No. 52 z.J 0
By
This
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245