HomeMy WebLinkAboutHeating 07-0906
:;- 0)(0 (') 000000 '"tl 0 > -0
lJl ::t ~ C Z_
"0 0 0 :E 0 en"TIz"TI"TI"TI 0 c ~::;!
11l Z
g 0 g. 0 0 0 3: =tzen~OO Z m " mo
> ~ " " " 3: m>c CO m " m O"TI
;;0 ;;0 :;0; -r!;3:Z-I en
t'!') r m m m Z -Cz Z en :::!'"tl
~ 0 0 en en -I~>Gl 9 0"
~ t ~ -I )> Z '"tl - -I z-
t'!') )> -I -i m 0 - zO
K::l ...... tii (J) o Z 0 W
I 0 -l Z 0"
S CD -l "TI
co )> (5 ~ :::!>
~ UI ?' (5 0
0 Z -I Z 0:;0;
"TI 0 )> 0 mm
~ 0 > ~
" r Z
r c
~ -l "TI '"tl '"tl
:to. :x: 0 ;;0 "
~ m ;;0 0 0 }OOOOO ~
Z ;;0 0 0
m m m '"tlen:EiI:'"tl
~ >< m m m r
z mr~>mr
-l c C OC -lOC
~ en
:< CS z ~ '"tl :x:iI: m:x:iI: '"tl 0 en
~ en m "TI!!:!;;o;;o;;o!!:! m 0 0
'"tl :J 0 ZZ:x:::t-Z " Z ::t
::! ~ m 11l -l >G')OO G') 3: -l m
0 ::::!. (5 r~~~ C! =t ~ C
"tI 0
~ -l 0 Z Z C
0 3- m zcc 4= r
~'"tl'"tl 9 m
Z :-! m C
~ 'Tl
I>) 0
""
~ ::t "
m
~ 0 0 ~
c 0 -.....J
;;0 < 000000 ~
en m )
~ z ;;0 G')'Tl'Tlom
> Z )>:;o:;oO~ ~
Roo C G') ~mmil:G')
~ < _'"tl'"tl'"tl~ \"
> ~>>>c
~ Z )>ooz:;;
0
""i !"1 _mm-l_ -i
~ ""TI;;o r
-1-- r i:
enz z m
-I~ G')
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3, Yellow
Eicant I PERMIT NO. 61. 6~O(o I
ZONING (office
use)
'3 <is :=~C1
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER \ ,,~~ ~\~. ~
(Name) ~\) 'f)! W TJf)
(phone)q~.3 ;)(p -~~~ G
(Address)
_ -Tr ~~\-J
'liA'
j
APPLIC~ d
(Name) ( '>1'\-'11'''' (j \ \e '
H\It"
(Phone) l O~--)\\-'hc:r)' lQCA<3,
(Address) _
N \ 0. \ D l:::::-(~.+7 .J()
(Contact Person)
hl.JE'
(Address)
II
~~O~y
(Zip Code)
(Phone)
APPLICANT SIGNATURE DATE
T PLEASE COMPLETE BELOW
DNEW CONSTR ION ~PLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL -=r-r-(A n e. X ~ ?r 0 FUEL 10 - b.
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
o Gravity
[d'Mechanical
[&(ir Conditioning
OVent 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
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ Y :-::--)() 0
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ 3q 50
$ .50
$ L-\ 0.00
(Offite Use Only)
This Application Becomes Your Building Permit When Approved
Buildine OfIidal
Date
Paid 1'0 . 0 0
Date y, Z,O, QJ
o. 5",'Cd)
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245