HomeMy WebLinkAboutHeating Permit 07-0298
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
l~~icant \ PERMIT NO. D7. 0 Z 1 t; \
\
ZONING (office use)
ADDRESS
PtRitJR
LAIC f.-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2~. tf35. 007, C
OWNER I J
(Name) L.o, S Mc- ('~,e:"-H y
(Address) L~IZJ)S. Sr:
t-
(Phone) d3c1-dJ/Q-/9/7
APPLIC~
(Name) R 1.1-.5rue5
(Address) ~ 8 g 5' I'l.q +I,
~l'
SJ.. CU.=II 101
(Address)
(Phone) '15;- -- 4".1 J - SC/3;;;"
~Le I4lLu?' /'Iv 551:J.-~
(City) I (Zip Code)
(Phone) 9'5;1. -- ~11 ~ 59 3 r,
DATE '1'. ~.~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION EPLACEMENT 0 AL TERA TIONS
FURNACEMAKEAND\10DEL &/liClt-IC- 5oavt3()gO-/~ FUEL 4r ltfS
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Contact Person)
APPLICANT SIGNATU
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWann Air Plants
DGravity
o M~chanical
[91cir Conditioning
~ ent. System
o Steam
o Hot Water
o Radiation
o Special Devices
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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
,,/'" i"V\ " ~
Estimated Cost $ ~ _-
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
~/5 ()
.50
ftJ.~
'0ffice Use Only)
Date
Paid fO I 0 0
Date 5, If, d
53f"Zf
[his Application Becomes Your Building Permit When Approved
Buildinl! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372