HomeMy WebLinkAboutBldg Permit 07-693 H/AC/F
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
ADDRESS
l Lf(P3 1-
Vtt.-O)
Date Rec'd
,.30.01
~: =0 ~:~ I PERMIT NO. 07" 06;,'121
3. Yellow ApplIcant . '.oJ .
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
j(
OWNER \1; _ \ ,..-
(Name) _\ nit' t;
(Address) \ Y (,). L
TAf'Ji)g
lh~~
~~;~f~~ Ll.J~ilYL ~tr5 ~ ~f)/V
(Address) ~I t..( 0- Ct.1l-c~ ~ 6-,.J'6
(Address)
(Contact Person)
(Phone)
(pr2....q~t- 5l-rSZ
(Phone) Gvt '2 - ~"Z, -- C L{ S-
~~ ~02(
(City) (Zip Code)
(Phone) t 'pi Z - 2'2. I - 22 I S
DATE 07 30-07
A PLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
B ~t~~ater 6tJlJ G'FI1
o Radiation 1/ ~ "J
o Special Devices "-IT. t{tlDI>
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
.d1Ar0uP ~(IZf(~
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
$39.50
$39.50
$39.50
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
$
$
$
51~~
.50
40. -
Paid tf1J _ uU
Date 7 ,,30 . J
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372