HomeMy WebLinkAboutBuilding Permit 08-0414
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. w.~:w ~l~icant I PERMIT NO. 08. M /4
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
cqf r~ <Stmn
(Phone)
I OWNER
(Name)
(Address)
APPLlCANl-... . . \ _ f\; 11P L !
(Name) ~0UCt\"J(;" t S \,~I)s \~ '"
(Address) 5200 . \" V\ tL'Y\ ~r:J
(Address)
.,~' .
\
(Contact Person)
f\J( Crn'\ (Phone) Th '6 -- 581 --CD 1C)
tplJQ.v\ \till~ ~\
(City)
1tob5JJ
'DATE
APPLICA
W CONSTRUCTION.
OW
" ALTERATIONS
INPUT
FUEL
OUTPUT~1
. \
"")
!
MODEL ~ - ';,,'
RETURN OPENINGS
t'
I
FURNACE MAKE A
FLUE SIZE ",
TYPE OF SYSTEM
[9Warm Air Plants
DGravity
o Mechanical
[JAir ~onditioning
QWnt. System
, ..-(
HEATING OR POWER PLANT
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
$49.50
$49.50
$49.50
Industrial, Commercial & Multi-Family
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
<f\,9J
.50
50.00
Paid 50. u1.J
Dat , Z, 7 . ()
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
BuUdinl!: Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372