HomeMy WebLinkAboutHeating 06-0047
CITY OF PRIOR LAKE Date Rec'd
HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT I .11. () If
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 10- Oip ~~;_I PERMIT NO. 1/& .004-71
ADDRESS-s<f 0
(A1'l
~-(,(
ZONING (office use)
tt./~O
LEGAL DESCRIPTION (office use only)
PID "2 ~. () z., 7. 0 I q. 0
LOT
BLOCK
ADDITION
APPLICANT
(Name)
~
(PhOne~
OWNER
(Name)
(Address)
(Contact Person)
8T ANDARD HEATING & AIR CON
410 WEST lAKE STRFFT
MINNEAPOLIS, MN 55408
612-824-2656
(Address) I' I
/'r1-eAI1lc:J<-
(Phone)
(Address)
(City)
(Zip Code)
(Phone)
.
DATE
APPLICANT SIGNATURE
~t<S
TYPE OF SYSTEM
~arm Air Plants
o Gravity
%rechanical
Air Conditioning
ent. System
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
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AIC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $ l b >-~
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
3lj/50
rD .50
'-( . 0=>
Paid 40. ~ 0
Date;. II. () c:,
Receipt No...:'/V 872-
By
'lice Use Only)
fhis Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245