HomeMy WebLinkAboutFurnace 08-0942, A/C 08-0750, Plumbing 08-0958
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Dnt\! R~~J-
If, / 0 ~ do
1. Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NO. 08 I Or+4.
I
ZONING (office use)
--r
Ivu'\ l
SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
~~@~D\1J~
OWNER
(Name) =-~A
(Address)
(Phone)
APPLICAN1'1)n... , i. . - I S~'
(Name)~~ .' S
(Admess) lf3~}1; ~0J IitJ
( ddress)
(Contact Person) --=rnl
, (Phone) q5d-/~ 3'3 .- '~11 g
~t1 1\.5 ~ 5S,Y-f?:>
(City) (Zip Code)
(Phone) (.DId- /)-;)-1- <6/J3 J
DATE ~-5'o<;t
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
E COMPLETE BELOW
REPLACEMENT D ALTERATIONS. I L
D FUEL ----tl ~
INPUT LOlTVt) OUTPUT J{<6, 15'VD
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
~ Mechanical
DAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE: Air Conditioner
U nits 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
Industrial, Commercial & Muhi-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
ST A TE SURCHARGE
TOT AL PERMIT FEE
$
$
$
~~,rv
.50
SV. cJ2J
(Office Use Only)
Buildin!! Official
Date
Paid 51>.. cru
Dat1(. /0. tJ
'pt No. 51/0 Z-
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
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3, Yellow
File
City
Applicant
I PERMIT NO. 0/3; OJ.!:;?) I
,
ZONING (office use)
5~clJ
~~\
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNE~
(Name) b ~ h
;V'\ C Ct P fA-.
(Phone)
(Address)
C\. boo -L
APPLICANT
(Name) \ ~}A~' e rV12- f!-6--'\""
(Address) '2A-I1 ~
L/7Co (9?u
fir 557"'7-'
) (Zip Code)
(Phone) /{Q 3>. </7(0. 19'7-0
DATE q, 2-, Or
APPLICANT PL
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL~ !tJe..
FLUE SIZE RETURN OPENINGS
A COMPLETE BELOW
REPLACEMENT D AL TERA TIONS
XIIq 5 FUEL ~S
I INPUT OUTPU~q 0 QO
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
~ir Conditioning '"\ -FOf" c.eel ft \ ~
DVent. System -f""'.., ~ AI ttR
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE: Air Conditioner
U nits 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
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost R~~jdtlll;al, GIlJ Fir8fJl-ace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & A/C (l'~ Construction)
Residential, Heating Only (~~ Co~struction)
$39.50
$39.50
Estimated Cost $ J~ .?-yo
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ ~ 49.GtJ
$ is ,.5V
$~ SO~d7J
(Office Use Only)
Buildinl! Official
Date
Pai~ (/U
Date~z.L-.. (I
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
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~~~ ~~~~y I PERMIT NO. 001 6C1C8!
3. Yellow Applicant , 0 I ~ ~ ,
ZONING (office use)
T, ~1b.U' TfClI'
Sf
(Address) "
S537y
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER 0/"./,,:,.. M Ca
(Name) ------DUI2UL (; P-,C(
\\.1,
(Phone)
By
APPLICANT
(Name)
Champion
65 1-365-1340
3670 Dodd Rd. #100
(AdqreE,gan, MN 55123-1339
(Contact Person) --~\ S Q \ ~> I
APPLICANT SIGNATURE 17'~...;;2:;,,;~,,_.,._.
(Phone)
(Address)
(City)
(Zip Code)
(Phone)
DATE
1/
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantitv Tvpe of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher I Water Heater
Floor Drain Water Softener
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Eiector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
yq . ~)()
.50
~OcOO
(Office Use Only)
Buildinl! Official
Date
paid.5ZJ _ f/V
Date I /.11r vf
This Application Becomes Your Building Permit When Approved
ipt No. 57 I' +-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
3C)1/7
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