HomeMy WebLinkAboutHeating Permit 09-0665
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
~!~ I PERMIT NO. ()q. o'~=r
Applicant \,g
~,~ ~~ ~~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER ~
(Name) "or C' 'j
(Address) ~l, ~ ~
~~~\J
c APhone) q~ ~ -\ '" '1 - ~ \:) ~_
YJ r) ~V" ~~I6.- S S"3 J~
(City) (Zip Code)
(Phone) ~..r ~ .. '" ~ '1 ' 8> W
DATE ~ - )j -
(Phone) (1 \" ).-It ~ ~,,~~ .)
APPLICANT ~ - \-. ~ ' ) " L
(Name) '\J.... ~ ) ""
(Address) \ ~ '\ '?() U ~\ t ~~ A \l \
(A~ ,-It \ R...
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION PLACEMENT 0 AL TERA TlONS
FURNACE MAKE AND MODEL 6r"j ~"'\'" )~ ~'f\~" 0\.\ &> U ~ () FUEL N,,~
FLUE SIZE ~ V C RETURN OPENINGS INPUT ~ ~) (\ ~ (:) OUTPUT IS J 0 (f6
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir 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
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$49.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$49.50
$49.50
Estimated Cost $
Building Permit #
(Office Use Only)
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Buildinl!: Official
Date
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