HomeMy WebLinkAboutHeating Permit 08-0752
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec' d
~.~:., ~:~y I PERMIT NO. /j8 o"'~z..1
3. Yellow Applicant , V, I V ,
IlIfr7 D~llAtv\
vtv~ rt
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNE~ll ~
(Name) t . V 0
. (Address) ~~. ...l Ikrl rvf---
APPUCANT I^"IA~ ~
(Name)~
(AddreSS)~O~V t~ f1;1
(Address)
V~ V VlO~
(Phone)
(Contact Person)
C;0m
(Zip Code)
~fI!J ~q if . 0fu{)
( f v ~
APPLICANT SIGNATURE
DATE
APPLICANT PLE
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL
E COMPLETE BELOW
REPLACEMENT D ALTERATIONS
FUEL
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
Dvgo'f1lv
FIREPLACE MAKE AND MODEL
RETURN OPENINGS INPUT
HEATING OR POWER PLANT
o Steam
l2rHot Water
o Radiation
o Special Devices
o Other qevices
OUTPUT
FLUE SIZE
TYPE OF SYSTEM
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.
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50
$64.50
$49.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$49.50
$49.50
Estimated Cost $
I LfI,6o () UO
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ JL#t.6()
$ .50
$ I~g. (JU
(Office Use Only)
paid/SO. 00
Date9. / (p _ () 6
Receipt NO-=56 e.3L,
By