HomeMy WebLinkAboutHeating 07-1108
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~: ~~ ~~:y I PERMIT NO. 07 /1/)8
3. Yellow Applicant . { U
ZONIN"G (office use)
\'b.{:(:AC\f\ S\ !....:l E
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER LQ~ l-W...oC.i n
(Name)
, (Address) C-:'- 6") l~(ACV\ s, ~L
~,
PID
(Phone) qS2~ 44'S -L~ll
! APPLICANT f\ A S:NIC{ ~
(Name) '~\-{l\~ ?~~~ \ \\lr'~ a"Cl \r ',?,,'cnel' ~'S\-.1-L..(1.ctDll
fjC5 .\lctv~c\eV\ ,f\.>-L ~\Qcu)\ ,'S'S\U1-
(A dress) ,City) (Zip Code)
..e.VQ~~ (Phone) VSt.- I-:J....Lf> {-if;\.l
,I ilior
(Address)
, PPLlCANT SIGNATURE
DATE
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION !Xl REPLACEMENT '1 AL TERA.TIONS
Ii ?URNACE MAKE AND MODEL '\DlY"\t '\0i O(tO Ut,'t\)'?l\.,,,;. FUEL
i FLUE SIZE RETURN OPENINGS INFUT OUTPUT
l$),(X)O f-~~
I
I
I
I
i TYPE OF SYSTEM
I
HEATING OR POWER PLANT
[kjWann Air Plants
OGravity
o Mechanical
DAir Conditioning
DVent. 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
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.5'0 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
:/1 ' 5V
.50
4D ()D
ce Use Only)
Building Official
Date
Paid 1'0/ trzJ
Date I ( 1& _ CJ 7
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245