HomeMy WebLinkAboutHeating 07-1109
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec' d
1. Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NO. 07. 1/011
I
SvJ
S LlYl sd- - (r{
ZONING (office use)
LOT
BLOCK
ADDITION
I
Sq~f:Jn;egr SO~:l- Wt- ~7 3
PID
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
(Address)
APPLICANT
(Name)
(Address)
STANDARD HEATING & AIR CONDITIONING
410 WEST LAKE Sl Hl:ET
MINNEAPOLIS, MN 55408-2909
61fA~i\.r~}J!)6
(Phone)
(City)
(Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
TYPE OF SYSTEM
~arm Air Plants
Iravlty
Mechanical
D ir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
D Hot Water
o Radiation
D Special Devices
o Other Devices
PLEASE NOTE: Air Conditioner
U nits 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
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AIC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $ ~
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Permit #
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
""3}=[ ,SO
.50
If:o' Oc:;;
Paid 40.0 {)
Date j I- {ft ' (; '7
No. ~-V~4--
lice Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372