HomeMy WebLinkAboutHeating Permit 09-0477
5" oX (") 000000 "lJ 0 ~ -0
l/I % ~ C z_
~ 0 ~ 0 en"TIz"TI"TI"TI 0 c ~~
tl 0 Sl 0 s: =lzen~OO Z m ;:u mO
;u ::0 3: ~>C:l:i~ m ;:u m O"TI
~ ;u ,.. z'!;zcz Z en ::!"lJ
m m en
0 en ~ ::!Cl~Cl 9 O;:u
>a -i > Z z-
t'!l > -f -I m 0 - zO
~ Cii en o z 0
S 0 "TI -f Z 0;:U
-f > (5 ::!!;
~ ?' (5 0 Z 0,..
0 Z -i mm
> 0
~ 0 > Z ~
;:u ,
, c
~ -f "TI 'V 'V
. ::I: 0 ;u ;u
~ m ;u 0 0 ~o 0 0 0 0
Z ;u 0 0
~ m m m m l:'Ven~I:'V
>< z m m m'~)im'
-f c C 0C: -i0C:
>a Z ~ en ::1:1: m::l:l: 'V 0 en
~ 'V
~ en m .,,!!:!;u;u;u!!:! m 0 (')
~ ~ 'V ~ 0 ZZ:t:::I:-Z ;:u Z :I:
::! m (1) -i >ClOO G') ~ -f m
0 ~ (5 r"TIOO ;u =I ;:a c
~ (')
-f 0 Z -,..,.. - Z c:
0 ~ zc:c: ..,. ,
~ OJ ~'V'V 9 m
Z m c
~ "TI
N 0
....
~ :t: ;u
m
~ 0 0
c 0 t~
;:u < 000000
en m
:i! z ;u G')"TI"TIO~
> Z >$$0
Ro c G') ~mml:G')
~ < _'V'V'V~
~ ~ ~~~~c
Z >O(')Z:;;
3 0 _mm-f-
!" ;U"';u , -i
-f-- , i
enZ z m
-f~ G')
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Me. f\C. \r..: \ '5t
Date Rectd
t 5:w f::1kan1 I PERMIT NO. f - 411
I ZONING'__1 I
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
LICANT PLEASE C LETE BELOW
DNEW CONSTRUCTION ~RBPLACEMENT l8t AL~M-TIONS
FURNACE MAKE..AND MODEL ~2 ~(;'l'~ ~du.(~e.\.\O ~ ~ ,;:.JJ;UEL ~LlG.r... os.
FLUE SIZE Co '{:)(e. RETURN OPENINGS -, INPUT OUTPUT ~o, ())C P.->\v.
TYPE OF SYSTEM. HEATING OR POWER PLANT
8\Var~ Air Plants ~ ~ ~ Qi t"" ) 0 Steam
OGrilvity' . -.,.,rV\e<J=.. 0 Hot Water
o Mechanical 0 Radiation
Ji!Air Conditioning 0 Special Devices
OVent. System ~Other Devices Go.~ Lh'\-( kv
Sto'.Je
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$49.50 minimum
S149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
OWNE~ 'J,.
(Name) -lOV\ \'" ~ \' c;. \- n '" \ c,..
(Address) l c...r
\<.eV\ '" e.cl'1
((A; \ Sf:
\:)
\ <'\0\
APPLICANT
(Name) 30\"1<\ ~:<V~':j
(Address) l4 "S 50 ~o.o~ -rrO-l \ SE:-
\;lAddress)
(Contact Person) ;::}; ~ V'\ ~
APPLICANT SIGNATURE
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Conslruction)
Residential, Heating Only (New Construction)
Estimated Cost $ ~ l~CD
(phone) '1S2.. 4'41 Lf(.,,"-\\
IA \"'; llNtp~)
S~ 31L
(Zip Code)
~s 1. 'Zl1. t ")
'7-uoq
(phone) %1- ~?,'l...
? rUJ" \..o..~~
(City)
(phone) qrs L
DATE I
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.
$49.50
$49.50
$49.50
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
$
$
$
4~.So
.50
~O> c:o
Paid ~()_ _
Date
Receipt No. >8'~7-,--
By (4)1+.
24 hour notice for aU Inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E.. Prior Lake, Minnesota 55372
~""'G-c...V\~ \>rv""\~W'\ '~\1~$ J ~\ er S8 '" v<" ()~o-t -1.(::) ~ ~('1Cl.."" \ ?\lAS C\t;, S JS'Sc.t..V