HomeMy WebLinkAboutH/A Permit 07-613
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i:' ~~. I PERMIT NO. 07. O(P 131
3. Yellow Applicant
7~3 - ~7:A-01S ~
rS13~
(Zip Code)
9
LEGAL DESCRIPTION (office use only)
Q · S C :B 1'1lJ3,
CLOSE. ~C'f1\Tl'f'{
DDB 'f~/~12009
LOT BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
APPLICANT
(Name)
(Phone)
(Address)
(Contact Person)
APPLICANT PLEA
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
DGravity
!eChaniCal J
. Conditioning ~Il~u VAtlLaa.~
Vent. -System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
J..lOtI 0 Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum .
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
&thnated Cost $ !'sm. '1! Buil<lingf9p>rit #
HEATING PERMIT FEE $'; I.SD
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ ---rJr} . (kJ
Industrial, Commercial & Multi-Family
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid1O" (/V
Date 'l /.3. () 7
.
Date
Buildin2 Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
ZONING (office
use)
Pill ZS. liPS'. 01l.i . D
9S~-JJ' j13~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
o. S~UIf:)