HomeMy WebLinkAboutBuilding Permit 08-0547
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CITY OF PRIOR LAKE
IlEA TING/AIR CONDITIONING/FIREPLACE PERMIT
Hate Rec'd
~. ~'il:~~n ~~:~y I PEUMIT NO.c18, O,~4-ll
I. Yellow ^ppliclIlll _ .
ADDRESS
'I/o/(P ~~~ )j.~~
ZONING (omce use)
-l
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER ~.-fJ /J / J
(Name) ~
(Address) Lfl9? ~C4. .
;.A~
AIR MASTERS/He
~u (P:;:@~:;;-6r/?~J
,
APPLICANT
(Name)
HEATING & AIR CONDITIONING
(Phone) ________
(Address)
6915 - 146th Street West
Apple Valley, MN 55124
(952) 431-5932
(City)
..
(Zip Code)
(Contact Person) _ (Phone) _____.__
APPLICANTSIGNATURE~1 ~ __. DATE ~@~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION d( REPLACEMENT 0 ALTER'A;fIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT _______
TYPE OF SYSTEM
HEATING OR POWER PLANT
I
I
l FIREPLACE MAKE AND MODEL
OWmm Air Plants
DOrnvity
o Mechanical
I3Air Conditioning
OVen!. System
o Slenm
o Ilnl Wilter
D Radialion
D Spednl [)evice,~
o Other Devices
PLEASE NOTE: Air Conditioner
Units amI Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of lJuildings
Require n Building Permit.
Industrial, Commercial & Mulli-F(lTllily
FEE SCHEDULE
J % of job cost Rcsident illl. Gas Fireplacc
$49.50 minimum
$149.50
$64,50
,~4l}.50
Residential. Healing & AIC (New Construction)
Residential. Heating Only (New COl1strllclion)
Rcsidenli:11. Additions & Alterations
Rcsidential. AC Only
.t49.50
$49.50
Estimated Cost $
(.10
c2 00 tJ. ;;.--
Building Permit #
(Office Use Only)
Ill';' ApplleR"on Decomes Your Dulldlng Permit Wheu Approv""
I
I
HEA TING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
. -()
$_':/7:_ ~-
$
$ ~~. 02
.50
._.
Paid
y ceip! Noo5L, <;V,:y- j
UAtc
..,.
Dal!_~
Illlildinl! Officinl
24 hour noliee for lllllnspectlollS (952) 447-911Sfl, f'ax (952) 447-4245
4646 Dakot.ll Street S.E.. Prior I,SlI,p. MI....Mnln ..,"-',..,.,