HomeMy WebLinkAboutHEATING 06-0892
CITY OF PRIOR LAKE
FiI~ECLOSED D~~nITIONING/FIREPLACE PERMIT
TO INACTIVITY
Sent Letter
JUL Y 10, 2008
Date Rec'd
(Please type or print ana Sl~ ... vv.__,
ADDRESS
3050
Lr-u{cJ l~evJ
Gc-sw
; :e:n ~::y I PERMIT NO. /V_ 0 ~q 2-
3. Vellow Applicant VV' U I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
1? 111 ." I V'
~oSo--
fl1 ;/Ie,l
C r~fcVt evJ
.
~C( ,
. (PhoneR5:;)..... ~ - .)..~t
S~ J
OWNER
(Name)
APPLICANT
(Name)
(Address)
GTi\NDAAO IICATING & AIR CONDITIONING
410 WEST'LAKE STREET
tAINNEAPOII~ ~f\~
\ (Ad~8,24~2656 (City)
(Contact Person) \~ A $ll.I (V\ ~I r't,J<:.. ffl (Phone) /.
APPLICANTSIGNAT~RE ~ V~ DATE 1IX(~("
~PPLICAN-NLEs\~E COMPLETE BELOW
DNEW CONSTRUCTION ~LACEMENT 0 AL TERA TlONS I
FURNACE MAKE AND MODEL AreA, """"~ ~ '5 :z- FUELYldf;. JW .qt:i:<, .
FLUE SIZE . RETURN O~GS INPUT ~€) > ()6t:> OUTPUT ~ 00
/ TYPE OF SYSTEM REA TING OR POWER PLANT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
(Phone)
(Zip Code)
~arm Air Plants
DGravity
:J Mechanical
. ~ir Conditioning
DVt:nt. System
o Steam
o Hot Water
o Radiation
o Special Devices _
o Other Devices
"--
FIREPLACE MAKE AND MODEL
Estimated Cost $
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
<4~O
$39.50
Industrial. Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
Residential, Additions & Alterations
-Residentlar, AC Only -
$39.50
$39.50
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
"'A q -SO
. .50
l..{p.t:X>
'')ffice Use Only)
fhis Application Becomes Your Building Permit When Approved
Paid +0 ,00
Date I'. 3. ()~
:tr 52-#f'
r.
&
Building Officinl
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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