HomeMy WebLinkAboutHEATING 06-0963
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CITY OF PRIOR LAKE
nT' - rT'.,UF"' I - n,. F"'"",,,,,nu'T'IONING/FIREPLACE PERMIT
FIL,E CLOSED DUE
TO INACTIVITY
Sent Letter
JULY 10, 2008
1 ~Lfd-l-f-K
Date Rec'd
l. Pink
2. Green
3. Yellow
File
City
Applicant
I PERMITNO.O~' ~~~
(please type or J>>.
ADDRESS
'1537 eoloraJ,?-r 5[;....
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID rJ~ 00/' II S -('
OWNER
(Name) L ~ "'5elJ ~
(Address) t.J!?~ t.dOY't:1~~"-~-
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(Phone) .95~-1/t/7- 7).75'
ff'{&Y'~AN_5~/~
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APPLICANyt
(Name) ~Yl-t-ra_l-re. _ :t:::-vt? ~
. I
(Address)~:2 tu4~h ~-fOYI A-ve, .
ddress) J
(Contact Person) -JOvM ~~~.,"~/e)f (Phone)
APPLICANT SIGNATURE .~~k_ DATE -.lO-[tf:z::1'~
/ APPLICANT PLEA~OMPLETE BELOW
DNEW CONSTRUCTION l(j REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODE~ Y'-rJ e..r 51?OJ-.4C/7& FUEL ~ )LJCT-~l-$
FLUE SIZE {I U RETURN OPENINGS INPUT tt0/J/J/1 OUTPUT ~_.~
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) 32::2-91/ /---/ #/~
~A1 /?arl'it!ie- Aft} -?.?~~t/
(Cityl (Zip Code)
~Warm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
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.
FIREPLACE MAKE AND MODEL
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $ j757J ~ tJtJ
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 39,5""0
$ .50
$ ~OO
lice Use Only)
Buildin!! Official
Date
Paid LI ---
~;O.
Date
IO.~' --G
Rece~gi3
BYG-.
U
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372