HomeMy WebLinkAboutHeating 07-0362
:;- 8l 0 000000 "'D 0 ~ -0
en J: ~ C z_
~ 0 en-nz-n-n-n 0 c ~~
g 0 Sl 5: ::jzen~OO Z m ;u mO
~ 0 ;u ;U 5: ~~c3:~S m ;u m o-n
, :-! ;U " z'!;-C- z en ::!"'D
l'!l , m en m en -l~~~ 9 (I)
~ t o > Z O;u
-l -l " - -l z-
l'!l ~ -I m 0 - zO
~ ..... > - o z 0
S I o en fJ) -l Z O;u
co -l -n
CII - > 0 ::!>
~ UI o 0
0 Z -l Z 0"
-n > 0 mm
~ 0 Z .~
;u ,
, c
~ -l -n " "'D
~ :z: 0 ;U ;U J)
~ m ;U 0 0 tOOOOO
z ;U 0 0 ~.
g m m m m "en~3:"
>< z m m m'~)Om' lJj
-l C C oC -lOC
en
;0 C5 z ~ " :z:3: m:z:3: "'D 0 (I)
~ en m -n!:!.!;u;u;u!:!.! m 0 0
~ " ::l 0 zz:z::z:-z ;u z :z:
::! m III -l ~CilOO Cil 3: -l m
~ 0
"I:l 0 () ,-noo ;u ::j ~ c
~ -l 0 Z ~~~ - z C
0 ~ tll ,
9 m
z :-! m ,"'D" c
~ -n f\
N 0
~ ".. ;u
:z: m
~ 0 0 ~
C 0
;u < 000000 ...j
en m W ~~
~ z ;u Cil-n-nO~
> Z >$$0 ~
Ro C Cil f!!mm3:Cil ~
~ < _"'D"'D"'D~ ~
~ ~>>>c
~ z >ooz=i;
~ 0 _mm-l-
!'1 ;U-n;u , -4
-1-- , i
enZ z m
-I~ Ci)
s~~
A,I"'NESO~~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec' d
5,19;07
~. ~~~n ~:~~y I PERMIT NO. OJ. 3t? ? I
3. Yellow Applicant , ~
ZONING (office use)
f{;,Qsc: monf c1u ~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) Lc...~\''-) tJ 'LK€/ 'j();J
(Address)
(Phone) () ,<;1- 'It; 7-a DL/9
APPLIC~ \ . . /
(N ame) l" \ tl r LJ(t- f-l"\-;. ~ ~.,4 <-
(Address) IL,S~LLPl""\o~J \ e 6 f coK t2J-
(Address)
(Contact Person)
(Phone) S'~)-l/'I7-~ lIt)
/( L_ S-.~3 ).).
(City) (Zip Code)
(Phone) 9 5~- iJ'I )- F?I/ZJ
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~EPLACEMENT 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
o Mechanical
~onditioning
. ~nt. 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
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
ST A TE SURCHARGE
TOTAL PERMIT FEE
$ 3q 57)
$ .50
$ 4-0,. (/V
'0ffice Use Only)
Date
Paid /1_, . ...., I
rv,vu
Date 5./~. ()
Receipt No. .9 ~
'his Application Becomes Your Building Permit When Approved
Buildinl! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372