HomeMy WebLinkAboutHEATING 07-0486
s- o o"'~ 0 000000 'V I > -0
III 0 ::I: C z_
j 0 0 ~ en"z""" 0 C !(J:;!
Q 0 II 0 0 i: ~zenS!OO z m ;u mo
>- 0 :u :u :u !: >c CO m ::u m 0"
li: , :1 :u :u ,.. _,>1:%-1 z en ::!'V
m m m % -0- en
r- 0 ~ en en -I~>~ p O;u
~ t -I >- Z 'V - -I %-
ttl ~ >- -I -I m 0 - zO
I<:::l .... en en o z 0
I ~ -I Z O;u
S CD ~ ..
CO :u (5 (5 ::!>
~ Ul 7- ~
0 % % 0"
'TI 0 > 0 ........ mm
~ 0 > ~
;u , % ~
, 0
~ -I " 'V 'V
:... X 0 :u ~
~ m :u 0 000000
% :u 0 0 (1)
m m m l:'Ven~I:'V
~ )( m m m VI
z m'~)lim'
-I 0 0 OC -IOC
~ Z ~ en xl: mxl: 'V 0 en
~ ~ 'V
en m 'TI~:U:U:U~ m 0 0
'V ::J 0 ZZXX-Z ;u Z ::I:
~ lD ~
::! m ~ -I >1i)00 Ii) a:: -I m
~ 0 (') (5 ,,,00 :u :::::j iU 0
::! 0 % -,..,.. - Z C
~ 0 ::J OJ %cc ,
;; ~'V'V P m
% m C
~ N ." "
.... 0
~ ::I: :u &,
0 m ~
~ C 0
;ill 0 ~OOOO ~ ~
en <
m ~\ ....... ~
~ Z ;ill 1i)'TI"0~
> Z >;0;00 ~ ~-4
Ao C Ii) f!!mm!:1i) ~ m
~ ~ _'V'V'V~ ~ fS\
~ Z ~~~~~ f'
0 ~mm~_
~ !11 ;ill'TI;ill , -4
-1-_ , i:
en~ Z m
-I, Ii)
~~Ol ,!"', P
~"1 \1' \of
CITY OF PRIOR LAKE Date Rec'd
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
t(~~\:~
~. ~~~n ~!~ I PERMIT NO.O'? 0 A11 (p
3. Yellow Applicant , ~ (j
rint and sign at bottom)
ZONING (office
use)
1~3B{
Cf)/}0e CT tJ/ vJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z5~ 41Z. oll,b
OWNER
(Name)
(Address)
C /M4 5 c/f1Jc 7
5~jJ
(Phone) 1fL~ WJ ,C(t)/7
APPur A 1\.TT "
(Nam Fireside Hectfh & Home
(Addn 20802 Kensington Blvd.
A TTN Danlelle Ostgard 952985.6675
License #20512060
_ (Phone)
Lakeville, MN 55044
(Conta,-_ _ ______, _
(City)
(Zip Code)
I APPLICANT SIGNATURE
(Phone)
DATE b;dtJ
A PLICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
O"Vent. ~y::;tem
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Otl1er Devices
OUTPUT
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
..~ ~/(rW L') 5Ol'l
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50
$64,50
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
~'C
ul\~ \ OtJ
~~.
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
~TATESURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ .J 9. Su
$ .50
$ /-tJ, tV
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
o. ~,ft/U J
Buildin!! Official
Date
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245