HomeMy WebLinkAboutHeating Permit 09-0652
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
V. z,5:- 07
t ~:~~:w ~l~icant I PERMIT NO.Or 0(,5z, I
~rt~~u-~
l~ /fa CD-
ZONING (office use)
f)lK-
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
S fc-pf-'ufl u.
7-
~
k.
(Phone) 0SJ..- L/47-0lP
(Address)
APPLIC~ k ~
(Name) ..(A /lOw I '11 +- AL- (Phone)
(Address~LJ5 , W B kI m Vl"! k PJt.u..y~ I lo
(Address)
qSJ- XCI 4--tJZJS
"BlLUVJVJ lIe SS;337
(City) (Zip Code)
(Contact Person)
(Phone) Surn-e
8 -l0-oj
DATE
DNEW CONSTRUCTION ~REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL yo It TrnCfvotO FUEL ft;L-I~
FLUE SIZE RETURN OPENINGS INPUT 80 .OaJ OUTPUT /(-e ,t:Q)
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
~Warm Air Plants o Steam Units and Fireplaces Cannot Encroach
o Gravity o Hot Water into Required Side Yard Setbacks.
o Mechanical o Radiation
~Air Conditioning o Special Devices Fireplaces with Box Additions or
OVent. System o Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
~1
~
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
tllJJ.':Il. tfj.W
~
Estimated Cost $ L{ q DO ,00
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ Ll<=t ,SO
$ .50
$ 51!) .0'0
(Office Use Only)
Date
Paid 57J ~ dL)
Dater. VrO
pt o'~74-6
This Application Becomes Your Building Permit When Approved
Duildine Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4
16200 Eagle Creek Avenue, Prior Lake, MN 55372