HomeMy WebLinkAboutHeating 08-0204
5" ~\ 0 000000 " 0 > -0
Ul ::r: ~ C z_
j 0 en."Z"''''''' 0 C ~~
g 0 n o 0 i: :::::jzen~OO z m " mO
> 0 " :;u i: ~>C3C~~ m " m 0."
I"" :-! :;u " ZI""):ZCZ Z en ::!"
l'tl I"" m en m 9 en
lltl t o > Z ~ ::!Cl~Cl 0"
l'tl -l -l -t m 0 - z-
~ ..... > - o z 0 zO
I o en en 0"
S CD -I ." -I Z
co - > i5 ::!):
~ 0'1 o 0
0 Z -I Z 0"
." > 0 mm
~ 0 Z ~
:;u I""
I"" C
~ -I ." " "
. ::r: 0 :;u :;u
~ m :;u 0 0 000000
z :;u 0 0
~ m m m m 3C"en:E3C"
>< m m
-I Z C C 1 ml""~>ml""
en OC -IOC
I cs z ~ " ::r:3C m::r:3C " 0 en
en m .,,~:;u:;u:;u~ m 0 0
~ " ::l 0 zZ::r::x-z " z ::r:
::! 11l -I
m ::t >ClOO Cl 3: -I m
~ 0 () i5 1"".,,00 :;u ::j ~ C
-I 0 Z -"" - ~ c
~ (5 3- ID Zcc Z I""
Z :-! m i!="" 9 m
C ." C
~ N 0
"..
::r: :;u
m
~ 0 0
C 0
:;u < 000000 ~o
en m
~ z :;u Cl"''''O~
> z >$$0 ~
Ro C Cl ~mm3CCl
~ < -"""$! ~
~ > ~>):>c
z
0 >ooz=i;
~ !'1 _mm-l_ -4
:;u.,,:;u I""
-1-- I"" i
enz z m
-li!= Cl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. 6i~:n ~~~~y I PERMIT N~8~ 2()~-
3. Yellow Applicant , ~
ZONING (office use)
ADDRESS
/6
~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
[\ eTTy CeiS-r/-L...JdMV
1(7 C/e role- SE
(Phone) 5 Q - J,J.6 - ;l,J.~
OWNER
(Name)
APPLICANT ~
(Name) 'r4 H~ flec...T'''1t:; cYl...-f a,-,.
(Address) J (0 (/0 )--- S- ~ P,,:, /1 t/ C- .IT I
') ~~ . (Addre,;)
(Contact Person) A~
(Phone)
~(:..~,/n I c..
<7 Q, - ~~ >f- ;),J .1-)
/'1 ~ ,)JC.-Lf4
(City)
(Phone) 'i \~ - ?J) ?r ;,;;.. J /
DATE '(-2[)-c&-
(Zip Code)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION [!31fEPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL C'Tu If'! 0 f6J/' ", FUEL
FLUE SIZE RETURN OPENINGS INPUT 80, ec:o OUTPUT
[ihVarm Air Plants
OGravity
o Mechanical
Ii2IAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
TYPE OF SYSTEM
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
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50
$64.50
$49.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$49.50
$49.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
ST ATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
.50
Paid
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372