HomeMy WebLinkAboutHeating 06-1037
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
II. /".(),
1. Pink File
2. Grecn City
3. Yellow Applicant
,n'-C tA1 ~(,",0784-
PERMIT NO. &:, . /0.3
ZONING (office use)
ADDRESS
/4-/05
UJl/or6
(!, 112- ~ NN
LOT
BLOCK
ADDITION
PID zS:
4-b4-. QQ., J
LEGAL DESCRIPTION (office use only)
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(Na1U€)
(Address)
(Phone)
;(:;ti[;~~~J; ((l:'(n~LI5
~Phone)
q., )... -'11 ~ -7 71 ~
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
k'PPlJCANT SIGNATURE ~ ~
APPLICANT PLEASE COMPLETE BELOW
(Phone)
DATE
If-/(, -~?
DNEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
DWarm Air Plants o Steam Units and Fireplaces Cannot Encroach
DGravity o Hot Water into Required Side Yard Setbacks.
o Mechanical o Radiation
DAir Conditioning o Special Devices Fireplaces with Box Additions or
DVent System o Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
39.50
.50
~O.OO
This Application Becomes Your Building Permit When Approved
lice Use Only)
Paid 4-0. (J 0
Date II If. . (J "
Receipt No. 5" Z4 6~
By t2tt-
Buildin!! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372