HomeMy WebLinkAboutHEATING 07-1038
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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LEGAL DESCRIPTION (office use only)
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ADDITION
OWNER
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Date Rec'd
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I PERMIT NO.OZ I03B
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City
Applicant
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APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELQW
DNEW CONSTRUCTION D REPLACEMENT lXi AL TERA TIONS
JRNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
HEATING OR POWER PLANT
INPUT
OUTPUT
DWarm Air Plants 0 Steam
o Gravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
DVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL I-kQt, \<<-101 {\) 1\ -=){(' .~O
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.
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
$39.50
$39.50
$39.50
Building Permit #
$
$
$
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.50
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Paid 40 ,UV
Date 10 r7
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372