HomeMy WebLinkAboutBuilding Permit 09-0739
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CITY OF PRIOR LAKE
HEATING/Am CONDITIONING/FIREPLACE PERMIT
Date Rectd
9. f7A)f
I. Pillk File
2. O'"D City
3. Yellow Appllcant
ZONING (office use)
17~~~.t;:~ ~v<
LEGAL DESCRIPTION (office use only)
AlE
LOT
BLOCK
ADDITION
Pill
IlIr
(phone) .~() .30 r .5 f'oo I
APPLICAN
(Name)
(Address) !?fR' Z~Lr~
(Contact P~rson)
(phone) VS; '1vr- ("'C 7C
a1)L/~e Sf'11c;
, (City) (ZIp Code)
(phone) C I JJ.
DATE
ONEW CO~UC~ON ~PLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~ (t1 Q ~ ~ U f~7a-sg)C FUELj/k,/u,..l Gctj
FLUESIZ~/'ffC RETURN OPENINGS INPUT CYOOO OUTPUT C~9'oo
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Ah' Conditioner
~Vaml Air Plants o Ster.m Units and Fireplaces Cannot Encroach
DGravity' . o Hot Water into Required Side Yard Setbacks.
o Mechanical o Radiation
DAir Conditioning o Special Devices Fireplaces with Box Additions or
DVent. System o Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50
$64,50
Residential, Additions & Alterations
Residential, AC Only
$49.50
$49.50
$49.50
Residential, Heating & Ale (New Constmction)
Residential, Heating Only (New Constmction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 49. SO
$ .50
$ Sl;..vV
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Build/nil Official
Date
Paid.sz, "C/lJ
Datef" 17# 0
24 hOIlI' notice fOt' alllllspectlons (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minncsota 55372