HomeMy WebLinkAboutHeating 08-0307
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;:en ~:::y I PERMIT NO. 0 a . 030"-+'
3. Yellow Applicant , U /J
ZONING (office use)
La\Lt! S'\o.t
~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~~;~~~~ ~~~,~~1}l'd
(Address) 5D5 Wr&CA~ -Av.t
(A ress)
tv ~ UQU,
(Phone) ttJl d- - 8l '1--lCA LP
\LQ 0'\ 5'5312
OWNER
(Name)
(Address)
(Contact Person)
\('<~We~ "
~)
(City) (Zip Code)
(Phone) ~\ - L2b -ClD71
'I DATE '5 \ . - L'SB
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
OWarm Air Plants
o Gravity
o Mechanical
'{2Air Conditioning
.(]Vent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
D Other Devices
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149,50
$64.50
$49.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$49.50
~
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
Uf\.~
.50
tOO.a>
'ffice Use Only)
fhis Application Becomes Your Building Permit When Approved
Date
Paid SQ, 0()
Dat3.30,
No. .5578
Buildinl! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372