HomeMy WebLinkAboutHeating 08-0548
:;- 0 f 0 000000 "V 0 > -0
z_
III 0 :I: ~ C ~~
~ 0 en."z."."." 0 z c
~ (') 0. 0 0 s: ::jzen~OO Z m ::0 mo
g ::0 ::0 s: ~>C5:~~ m ::0 m 0."
> 0 ::0 en
:1 '" zl'"'>zoz Z ::!"'U
h, I'"' m m !=> en
I'"' 0 en Z ~ :::!Gl~Gl 0::0
lll:I t ~ > z-
~ ~ ~ m 0 - zO
-..j > en en o z 0 0::0
. 0 ~ z
~ CD ~ ." 0 ::!!;
co ~ '" 0 >
~ en 0 Z 0",
0 ~~ -l --- mm
." 0
~ 0 ::0
::0 I'"' Z .-<
( I'"' 0
~ -l .." 'V 'V
. :I: 0 ::0 ::0
~ m ::0 0 0 000000
Z ::0 0 0
~ m m m m 5:'Ven~5:'V
>< z m m ml'"'~)liml'"'
-l 0 0 OC ~oC
:>tr Z ~ en :x:~ m:x:~ "V 0 en
;;: ~ 'V .,,2!::O::O::o2! m 0 0
~ en m
"V ::::l 0 zz:x::x:-z ::0 z :I:
::l ~ 11l ~ >Gloo Gl 5: -l '- m
m V\
0 ~ (5 "1\ 1'"'..,,00 ;u ::j ;:u 0
~ ~ (") z -"'''' - D c
0 ......, ZCC Z I'"'
~ 0 a lD (' ~"'U'V !=> ~ m
z :1 m C
~ N ." ~
.... 0 ~
~ :x: ::0
m
~ 0 0
c 0 r~
::0 < 000000
en m ~
~ z ;u ~ Gl"""'O~
> Z >$$0 &
R- Ii) ~mm5:1i)
~ c ~ _"'U'V"'U~
~ ifi>>>o
~ z >OOz:;;
~ 0 _mm~_ \.A
!T1 ::0""::0 I'"' r.
~-_ I'"'
enZ Z - m
~~ Ii) ~
~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:~~:w l~~;cant 1 PERMIT NO. 08 ' 05481
ZONING (office use)
ADDRESS
,~
-~l S t-ICJV ~~
/l)~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER "::t:>
(Name) l:Y1 J + t
Le~
<j{ Fld-e" ~ c V)
(Phone) qsJ.- "03 oq~s
(Address)
--:--.,
d~-..c
-
(Phone)
APPLIC~T ,
(Name""-:YI jr n S J I 1/ 'f'
(Address) ~<fS1 W
(Zip Code)
(Contact Person)
"
(Phone)
DATE '7
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL LEI] /1 07( FUEL /l/ b ~5
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
DWarm Air Plants
jGraVity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
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.
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
, ~
f. 4~~ --~
Industrial, Commercial & Multi-Family
FI<:E 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 #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$ #.50
$ .50
$ 50.00
(Office Use Only)
Date
Paid [7\_
.::> U
Date1, 1.-y ,'<1
eiptNo':I (1,.-,
~(!;i"JU L
This Application Becomes Your Building Permit When Approved
Suildine Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372