HomeMy WebLinkAboutHeating 08-0580
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i ~ J~ican' I PERMIT NO. 08.0580 I
ZONING (office use)
~DX"\ (Cti \ VI LJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
Pill
OWNER I
(N. ame) ~G(( ~~ ~;~ (~~~ I
(Address) d~~' 'I- \" . \
(phone)
CD ? - LJ'-{ C; -$S(;'ug I
APPLIC~
(Name). \CI~- lfllYl tr)(T
(Address) LI {)DO Lu; Ilne+\<.c:.,
(Address)
(Contact Person) 1)1) I..-:
(phone) 7&3- .38-3 ~g3?s 3
\ALX'_1t/lX) yle0 HopL 5S!i 9. 7
(City) (Zip Code)
(phone) 1&3- 3~=f-~g-5
DATE / j C(;
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
. FLUE SIZE RETURN OPENINGS INPUT OUTPUT
. TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
~ Mechanical
/\ir Conditioning
Vent System
o Steam
o Hot Water
o Radiation
o Special Devices
o 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
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$ 149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$49.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$49.50
$49.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$.
$
$
(p~ .00
.50
(nL..l .5n
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildlne: Official
Paid" 4-,$b
Dat
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372