HomeMy WebLinkAboutH/A Permit 07-299
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
~l~icant I PERMIT NO. () (. 07-CflI
ZONING (office
use)
LOT
BLOCK
ADDITION
10 TFai ~;~\l,13,
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LEGAL DESCRIPTION (office use only)
_ID2-S"1 (;]1'.00(,.0
OWNER
(Name)
'7r1u J
Vv Lt'?-€I
(Phone)
(Address)
APPLICANT q I
(Name) Y) J e Ve., H t~ ~ U
L'Or /5on -De. 0Juiie
(Addre~
(J LD 'b
G.
(Phone) q ~a - q t/Jl -- cJ ~II
r;-d Qn ~Yai ri,~ i H AJ .
(City) I(Zip Code)
(Phone) q OQ - q it -- (j; ~J J
4-?)0-07
- ~(p
(Address)
DNEW CONSTRUCTION D REPLACEMENT EALTERATIONS
FURNACE MAKE AND MODEL G (X)d M-aN L7 M\I Q60104 e,1U FUEL Juat
FLUE SIZE 2 tlPvc. RETURN OPENINGS 10 INPUT 10 000 OUTPUT
,
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
~ Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL ~
DATE
APPLIC~T PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
(Office Use Only)
Estimated Cost $ Building Permit #
HEA TING PERMIT FEE $ ~ q. 50
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ 40. 00
Buildinl! Official
Date
Paid .fa.OD
Date 5.4-. d
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245