HomeMy WebLinkAboutHeating Permit 07-1148
:; ~r (") 000000 "'ll 0 > -0
::J: ~ C Z_
Ul 0 ~~
"0 en""Z"""""" 0 c
g CD o 0 3: =tzen~OO Z ;:u
!l m mO
0 ;a ;a 3: ~>e:!:~S m ;:u m 0."
:-! ;a ;lI\ Zr->-C- Z (J) ::!"'ll
hl m en m en
llll o > Z en ...d5>~ 9 O;:u
hl -t -t "'ll - -I z-
-f m 0 - zO
l<::) iii en o Z 0
I -I Z o;:u
S CD ""
co > 0 ::1>
~ Ul 0
0 -I Z 0"
"" 0 0 mm
~ 0 > ;a
;a r- .-<
~ -l r-
"" "'ll
~ ::J: 0 ;u
~ m ;a 0 ';qDDDDD
Z ;a 0
~ m m m ~"'llen~~"'ll
>< m
-l Z C mr-~>mr-
~ en oe: -Ioe:
~ ~ z ~ "'ll ::J:~ m::J:~ "'ll 0 en
en m ",,!E;u;a;u!E m 0 0
~ ~ "'ll :J 0 zZ::J:::J:-Z ;:u Z ::I:
::! CD -I
m ~ >(i)OO (i) 3: -l m
~ 0 () 0 1""",,00 ;a =t ill C
-l 0 Z (\) -"" - e:
~ 0 ~ tll zc:e: Z r-
Z :-1 m ~"'ll"'ll 9 m
~ N "" C
". 0
~ ::J: ;u ~
m
~ 0 0
e: 0 \
;a <
en m 000000
~ z ;a (i)""""O~ ""'"
Z ......
Ilo > (i) >;;;;0 ~
C f!!mm~(i)
~ < _"'ll"'ll"'ll~ ~
~ > ~>>>c
z
0 >ooz:;;
~ !11 _mm-l_ ....
;a"";a r-
-1-- r- ii
enz z m
-I~ (i)
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/ S- e:l :J-b
Eel. f.AJU~~
~. ~~:w Jl~icant I PERMIT NO. 07, I / 4-81
ZONING (office
use)
.N~ c.
at bottom)
ADDRESS
~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~ he rt:-I-
Lt .", cI eyae "7
o
(Phone) 9sz - Y Y-7-- Z60? .s-
(Address) / S l.. S t:, Ed cJD A ~
C! , ~ t!) ~ ,...v _ f: ~ . u...e
C-... /c.- -t ..I 5-.T~. z.......
APPLICANT
(Name)
6NftII.J I AIRE, IHe
122lS3 NJcoIIeI Awnue South
Bumavllkt, UN 5S337
Telephone: 8S2-746-aJO
Pa: 852-74&U02
(~s"""""'.mcIeodU8a.net
/Lj
APPLICANT SIGNATURE ~
(Phone)
(Address)
(City)
(Zip Code)
. '-:::ontact Person)
(Phone)
9'$"1--71/'- S2AJo
#. DATE
NT PLEASE COMPLETE BELOW
~7
DNEW CONSTRUCTION ~PLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ..l8 ~Or?./- 3Ss&'~OYO&'v FUEL ~4.
INPUT cPa, ~<) OUTPUT 7',0 U-:)
FLUE SIZE RETURN 0 NINGS
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
~Mechanical o Radiation Cannor Encroach into
Air Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % 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
Estimated Cost $
REA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ ..19. ~
$ .50
$ ~u.v:;)
t Office Use Only)
Buildine Official
Date
Paid 4{). l-'lJ
Datej{. ~1. ()7
This Application Becomes Your Building Permit When Approved
No. 6'37J7(p
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245