HomeMy WebLinkAboutHEATING 06-0875
CITY OF PRIOR LAKE
JlJi'jTT~CTr'lLOSED DUE ~NING/FIREPLACE PERMIT
li'ILE "-
TO I~ACY~"~~
Sent l,etter
JUlS 10, 2008
Date Rec'd
1. Zt,. ~6
(Please tvlle or orint .
ADDRESS
I. Pink
2. Green
3. Yellow
File
City
Applicant
PERMIT NO. 0".0815"'
"
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ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2..0 911Z,,,I/f.,lJ
OWNER
(Name)
(Phone)
(Address)
APPLICAl'oTJ:... ....... I L
# Alfl}~~N ~~\ s Wo..",,-\~<O"
<~,M ..rta,S'O ().\ rv\ a""-,,u... RQ
. (Address)
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APPLICANT PLEASE COMPLETE BELOW
t+) DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FORNACE MAKE AND MODEL 361~ FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
~::!:;~4"n- 3~-r-
(City)
(Zip Code)
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
frI.vo ffTrc...
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.
~AKEANDMODEL~lLI
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.3 9. SO
.50
~ 0"
'')ffice Use Only)
Buildinl! Official
Paid +0. d6
Dateq, u.ob
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Date
f\
RttPtNO. bL~
RI
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C
,'his Application Becomes Your Building Permit When Approved