HomeMy WebLinkAboutHeating Permit 09-0470
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CITY OF PRIOR LAKE ~ ~ @ ~~e~e~rul
HEATING/AIR CONDITIONING/FIREPLACE PERMITtill JUL 022009 ~
I. Pink File
2. Green City
3. Yellow Applicant
ADDRESS
1<0111
ZONING (office use)
W l' l t O\Aj L.v1 S VV
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill
OWNER ~ tI\ A l
(Name) '-VJ \' f'\ , nlA ~ \Qy-
(Address) I bIll \,u~ II owens V\J
(Phone) (0 I L .. '-{q D . I ~ q S
qJ'2-63~- 7,/,
t\J .s ~ '13 CJ
(Contact Person) W
(Phone)
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL~-\ 8S?' tlt\ V 03 b () t,O FUEL 6 tl So
FLUE SIZE RET OPENINGS INPUT Ecj ODe OUTPUT 7 '1 , '1 0 <::>
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants
o Gravity
-RMechanical
l3Air Conditioning
DVent. System
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
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$49.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$49.50
$49.50
Estimated Cost $ ~ '1 59. C> 0
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ '-(9.50
$ .50
$ 50.00
Buildinl! Official
Date
Paid 50 . ((1)
Dat~
(. t.... , CJ
. tNO'~11
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372