HomeMy WebLinkAboutHEATING 06-1036
CITY OF PRIOR LAKE
Fii~nTTIONING/FIREPLACE PERMIT
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TO INA.C D DUE
TIVIT
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10,2008
HEATING
(Please type or print and sign at bottom)
. ADDRESS
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File
City
Applicant
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
K e f1 A 5' -ir /)uIC/1
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Date Rec'd
/1. /(P.06
PERMIT NO. ~. / 03 bJ
ZONING (office use)
PIDZ6:0PJ3.003.0
(Phone) ::L.<\;).. Wi)" Cj ~ '3
12010 OLD BRICK YARD RD
(Address)
(Contact Person) L\ nda.
l'PLICANTSIGNATURE ~~.. ~~
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCT~ON [ziREPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL _r illI~ lJ,v' 5~('VAoq() . FUEL 1Jf.::1
FLUE SIZE RET~RN OPENINGS . INPUT QO., 000 OUTPUT =1--;:) pol>
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APPLICANT
(Name) RON'S MECHANICAL, INC.
(Phone)
(Address)
SHAKOPEE
(City)
. (Phone)
DATE
TYPE OF SYSTEM
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent System
FIREPLACE MAKE AND MODEL
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
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
ke Use Only)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
3q ,9:)
, .50
140. CJ.J
$
$
$
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This Application Becomes Your Building Permit When Approved
Paid +O,O(J
Date II, / {,. 0'
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
952-445-8585
MN
55379
(Zip Code)
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PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
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