HomeMy WebLinkAboutHEATING 06-0818
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. ADDRESS
III D3
CITY OF PRIOR LAKE
J..II;' A 'T'Tl\.TF" I' T~D~D-U-E- ONING/FIREPLACE PERMIT
FILE CLOSE
TO INACTIVITY
Sent Letter
JULY 10, 2008
S,^,v r\ Se Q.\J e...
LOT
BLOCK
LEGAL DESCRlPTlON (office use only)
ADDITION
OWNER (I r
(Name). ~e"
(Address) II J D 3
~'Q.~o,J
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SL"lUr, ~~ ~\_\~~
Date Rec'd
l. Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT No.tJlo -<g18 !
ZONING (office use)
PID /1;;' /)Ljq
(Phone)
qS~-l.J47-R~
APPLICANjt. . \ \ \ ....A/
(Name) ~,n.\ ~ r\""\'-~d-H C. (Phone) qQ!:L~J-~!lJ)
(Address)Jk[E!J ~~~~ Q:\ P~~Or-~ IYJ)U .~37~
(Address) (City) (Zip Code)
/lrv> 4 ~ (Phone) QsJ ---4!D- S? U D
~/)-1~-~ti--- DATE _9--t~;;otJi..r
(Contact Person)
APPLICANT PLE~E COMPLETE BELOW
. DNEW CONSTRUCTION (LJ ~LACEMENT 0 AL TERA TIONS \-
FURNACE MAK;' AND MODEL iJmer- k """ IS-\"'~. FUEL ;Jc...
FLUE SIZE ~' fV '-_ RETURN OPENINGS INPUT -UlfYV OUTPUT j, <;tj.()aJ
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants 0 Steam
o Gravity 0 Hot Water
~echanical 0 Radiation
~Air Conditioning 0 Special Devices
DVent. System 0 Other Devices
'YREPLACE MAKE AND MODEL
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)
(Office Use Only)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,'his Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
$39.50
$39.50
$39.50
39.50
.50
4DlOO
.
Paid L..h.'---
Date 9--&-~)
ReceiptN~ J f/1
By
0---
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372