HomeMy WebLinkAboutHeating 07-0008
5' 0 0 000000 "tI e > -0
III 0 ::J: ~ C z_
~ 0 ~ en."z."."." 0 c !G~
0 n 0 3: ~zen~OO z m " me
;u ;u 3: !!!>cil:iS m " m 0."
;:0 " zr-!;zcz z en ::!"tI
m m en
0 en !G ::!G')~G') P 0;:0
:., -t > Z z-
hl > -t -I m 0 - zO
to ~ 0 Cii en o z 0 0"
~ -t "Tl -t Z
ClI > 0 ::!!j:
~ UI 0 0
0 Z -t Z 0"
." 0 > 0 mm
~ 0 > z ;:0
" r- c .-<
r-
~ -t ." "tI "tI
. :x: 0 ;u ;:0
~ m ;u 0 0 ~ooooo
z ;:0 0 0
~ m m m m '\ iI: "tI en ::e iI: "tI
>< Z m m mr-~)limr-
-t c c OC -tOC
en
~ c:; z ~ "tI :x:3l: m:x:3l: "tI 0 en
en m .,,!!!;U;U;u!!! m 0 0
~ "tI ::;) 0 -z:x::x:-z " Z ::J:
::! m lD -t ~G)OO G) 3: -f m
0 ::t 0 r-!!~~ i!! ~ ;0 c
~ ()
-t 0 Z Z C
0 ZCC r-
~ 3- lJl ~"tI"tI P m
z :1 m c
~ N ." 0
.... 0
~ :x: ;u
m ....-J
~ 0 0
C \ f
;u 0
en < 000000 &
m
~ Z ;u G')"Tl"'0~ 0
Z >
> >;0;00 ...
Ro G') ~mmil:G') m
c
~ ~ _"tI"tI"tI~ 00
~!;!;!;c
~ z >OOz:;;
~ 0 _mm-t_
!'1 ;:0"';:0 r- ...
-t-- r- i
enz z m
-t~ G')
CITY OF PRIOR LAKE
HI:ATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
ADDRESS
~. ~;'~~n ~;l~y I PERMIT NO. /)7-000jS?
3. Yellow Applicant _ <./ ,
/ .61/~/7
/
[/i(" L LI ! /')
ZONING (office use)
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
(Phone)
PID;&qO)-OS41
I
LOT
BLOCK
ADDITION
(iA;Jd ./Vt'js-o~
/0 "Y.L/ 7 UC( I t/( ~
APPLICANT/). J;:( )
(Name) L.J1 C d
(Address) /6.y--1/ 7
(Address)
/1/ r l.. c:; cJ --'{/
/)C{ L<< 14
(Address)
(Phone) ?:5;;;J-7'~/- cJ l) 71..)
f/ /6 1/ ) c7 h 5~~3 -151
(City) (Zip Code)
(Contact Person)
(Phone)
DATE /- 3-'dC 07
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
AKE AND MODEL FUEL
FL IZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
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
Industrial, Commercial & Multi..Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
(Office Use Only)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ .3Cf/ S-o
$ .50
$ Ll6.-
'his Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
Paid L;t) -
Date (- :s .- 1
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
,..., ~