HomeMy WebLinkAboutHtg Permit 09-0446
5' ~yC' 0 000000 "'0 0 )0 -0
en :t ~ C z_
"0 0 en,,%""" 0 c ~~
CIl Z
g Sl o 0 ! s: =i%en~OO z m " mO
0 ;tl ;tl s: ~)OC3:~~ m " m 0"
:-! ;tl '" ~I~~~~ Z en ::1"'0
t"'l m en m en
:.a 0)0 . z 9 0"
-l -l z-
t"'l -t m 0 - zO
~ )0 - o z 0
o en en 0"
S -l " -l Z
;tl - )0 5 ::1>
~ ?' o 0
0 Z -l Z 0",
" 0 )0 0 mm
~ 0 )0 z ~
" 1
1 C .
~ -l " "'tl "'tl
~ :t 0 ;tl ;tl ~O 0 0 0 0
~ m ;tl 0 0
z ;tl 0 0
~ m m m m 1\ 3:"'tlen~3:"'tl
>< % m m ml~>ml
-l c C . OC -lOC
:.a Z ~ en x3: mx3:
,. ~ "'tl "'0 0 en
~ en m ,,~;tl;tl;tl~ m 0 0
"'0 ~ 0 %zxx-z " Z :t
:! ~ m CIl -l )o(i)OO (i) 3: -l m
0 ::t 5 1,,00 ;tl =i ~ c
~ (")
-l 0 Z -"'''' - z C
5 ;:? zcc 1
~ lJl ~"'tl"'tl 9 m
z :-! m c
~ "
N 0
....
~ x ;tl
m
~ 0 0 -fJ
C
;tl 0 f5
< 000000 1
en m
~ z ;tl C)""o~ J::
)0 % )o;ij;ijO
Ro c (i) f!!mm3:(i) ..t.
~ < _"'O"'O"'O~ {'
)0 ~>>>c
~ z )oooz=i;
~ 0 _mm-l-
!T1 ;tl,,;tl 1 -i
-l-- 1 i
enz % m
-l~ (i)
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
ADDRESS
SS9
I. Pink
2. Green
3. Yellow
File
City
Applicant
/? (i uo;.
(y_...-J /
\ PERMIT NO'09 0 #, I
ZONING (office use)
, E,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
~fcj)ue +~ ( ei
01 . JJ. E
APPLICApQ:' I ' 11 ./ t f' II (" ,
(Name) LV UCt I +vJ n €O..,tl ()? ' /711l"~f'rtJ I (t:J
(Address) Jd-7/ ~ l/C/J1-fu ra. L--CJ4t' f #-;z I
(Address)
6D-6 i?e Z~ c
~~;e
(Contact Person)
APPLICANT SIGNATURE
(Phone) S-.J ~ ~ 33 -. /al
,.. J..~ ke ,J ~S37.
.J
C
(Phone) 9s,} - ~{).3-///0
/f I' 0 r /..a.k r:
(City)
SS3 72-
(Zip Code)
(Phone)
DATE
..yo -3 -- /// 0
If. /,;J '/ /0 9
.
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION [EREPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
OWann Air Plants o Steam Units and Fireplaces Cannot Encroach
OGravity o Hot Water into Required Side Yard Setbacks.
o Mechanical o Radiation
~Air Conditioning o Special Devices Fireplaces with Box Additions or
Vent. System o Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Industrial, Commercial & Multi-Family
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $ ~ 7 ao. crD
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
$
$
$
~c;: :>v
.50
~(>. frO
Paid 5ZJ. t/V
Dat~. 70 ptJ
o. 9'.771-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 EaglE Cleell ,AHa""" Prior Lake, MN 55372
-