HomeMy WebLinkAboutHeating Permit 09-0482
5' a~a 0 000000 "0 ~ ~ -(')
z_
III 0 % C ~~
a: (') (') ~ (I)"'z"''''''' 0 c
~ (') ~ 000 31: ~~~~g8 z m " mo
g ~ :xl :xl :xl 31: m " m (')."
I'"" :1 :xl :xl " _I'""!;I:Z-I Z (I) :::!"O
l'Il m m (I) m Z -0- (I)
I'"" (I) -I~>~ P
lla t (') > Z 0"
... -I "1J - -I z-
l'Il -t m 0 - zO
to ..... (ij en (') Z 0
S cO ." .. -I Z 0"
co > 6 :::!!;
~ CII r (')
0 Z -I Z 0"
." 0 > 0 mm
~ 0 > Z ~
" I'""
I'"" 0
~ -I "11 "1J "1J
:... ::t 0 :xl "
~ m " 0 g ){aaaaa
Z :xl 0
~ m m m m i:"1Jen:ea:"1J
~ Z m m ml'""~>ml'""
0 0 (')C: -I(')C:
lla Z ~ en %1: m::tl: "0 (') (I)
! ~ "1J
(I) m "11~"":xI~ m 0 (')
"0 =' (') zZ::t:Z:-z i! Z ::t
~ ~ m (1) -I ~(i)80 (i) ~ m
:::!.
~ 0 (") 6 1'"""11 0 :xl =t c
-I 0 Z -"" - Z c:
~ 5 =' 1Jl ~zc:c: I'""
- >"O"1J P m
Z :1 m ~ C
~ ~ "11 \
0
~ :z: :xl
m
~ 0 0
c:
" 0
< 00000
(I) m to
:i! z :xl (i)"''''(')~
~ Z >--0 ~ ~
Ao (j) ~~~a:(i) m
~ ~ _"O"O"O~
ifi!i:!i:!i:o
~ Z >ooz,.
~ (') _mm-l_ ~,
!11 :xl."" I'"" -4
-1-- I'"" i
(I)~ Z m
-II'"" (i)
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
t ~;:w El~icant I PERMIT NO. OCl () ~e z.t
Please
ADDRESS
'L\L\<-t~ Ltj,\O.s furKW
ZONING (office use)
NU
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address) \ 444
vB;
W i \ d-.S -fa r '"
(Phone) q~44.s- ry 343
~:;~~ ~\er6~l-L~&~ (Phone)~4-3'- 7cqQ
(Addxess)l.oq ~ \.., '). le.\{}b '5-. ~ ld..p. Owe) l n lklj ":51.)..4-
(Address) ,/ (City) (Zip Code)
(Contact Person) Q \....L , 'l (Phone) ~ ~ - L\- ~\ -,oq<='-i_
---cg
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION PLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEJLu-r \ u - ,5 g Cv' A-oQO FUEL ;bturoJ
FLUE SIZE RETURN OPENINGS INPUTUgCf:Y:J OUTPUT 71 } O-)()
TYPE OF SYSTEM HEATING OR POWER PLANT
- a~Af'~
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.
OWarm Air Plants
DGravity
~echanical
ir Conditioning
~0em
FIUrLACb MAKE AND MODEL
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
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 $ 'l ,~~
,
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
4Q.=o
~O
(Office Use Only)
Date
Paid 50, (IV
Date1 { V ..0
iptNo. se 33.3
This Application Becomes Your Building Permit When Approved
Duildin!! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372