HomeMy WebLinkAboutHeating 07-0652
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:~~;w ~l~icant I PERMIT NO'07 0&5z.1
(please type or print and sign at bottom)
ADDRESS
~7/0 RUSTIC ROAD
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z<)'. J 4--0. ()(' f> 0
OWNER
(Name) MARGE WETT
(Phone)
(Address) SAME
APPLICANT
(Name) GENZ-RYAN
(Phone) 952-767-1000
(Address)
2200 W HWY 13
(Address)
BURNSVILLE
(City)
55337
(Zip Code)
(Contact Person) KIM RENVILL~ ,,/} (Phone) 952-767-1000
APPLICANTSIGNATUR(~~~1.-- ~~ DATE 7/17/07
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~ ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
T
.
SE NOTE A~ .h/
cond~lO"')
~~ ~~~~;~l
FEE SCHEO"",: ~ ~
1 % of job cost Residential, Gas Fireplace '%-
$39.50 minimum
$99.50
$64.50
INPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
D1\ir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Speciai Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
$39.50
ResidentiaL Heating & A/C (New Construction)
ResidentiaL Heating Only (Ncw Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ 39.50
$
$ 40.00
.50
-.------.............
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
46, (/7)
7ZJf.G?
I
Rec~tNo. 54255]
zr
Paid
Buildinl.! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245