HomeMy WebLinkAboutHEATING 07-0030
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CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Ydlow
File
City
Applicant
I PERMIT NO.07. (JO$O
Please t e or rint and s1 n at bottom)
ADDRESS
4786 PARTRIDGE CT
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) DEANNE SHEA
(Phone)
I (Address)
SAME
APPLICANT
(Name) GENZ-RYAN
(Phone) 952-767-1000
(Address)
2200 W HWY 13
(Contact Person) KIM RENVILLE
BURNSVILLE
(City)
(Phone) 952-767-1000
DATE 01/15/08
A COMPLETE BELOW MOVE MICROWAVE VENT, EXTEND GA~
o REPLACEMENT [!l AL TI LINE TO RANGE
55337
(Zip Cud e)
(Address)
APPLICANT SIGNATURE
APPLICANT P
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL
FLUE SIZE RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
FUEL
OUTPUT
DWarm Air Plants
DGravity
D Mechanical
D1\ir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
o Special Device:;
D Other Devices ~---
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only ('\Jcw Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building permQ#
,..., 50
$ ~.,
$ .50
$ 40-
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Buildinl! Official
Date
1-0 . (j (j
l.l6ofj
Recei t No. 5 S-/44-
By.
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245