HomeMy WebLinkAboutHeating Permit 09-0762
i
(l
::!
@
~
~
~
s
~
~
~
~
~
~
~
~
Si;
~
~
~
~
~
:i!
Ao
~
~
~
:;-
III
'8
n
o
:-!
o O~
g g ~
;0 ;0 ;0
;0 ;0 "
m m en
00>
-4 -4 -I
~ en
~
o
-4
o
;0
.-<
~
;0
o
o
m
m
o
o
o
:s:
:s:
m
z
-t
en
..
000000
en"TIZ"TI"TI"TI
=izen;oOO
!!!>c:~~S
Zr-!;ZOZ
~ ::!Ci)~Ci)
m 0 -
o Z 0
-4 Z
(5
Z
\to 0 0 0 0
.k:~en~~~
llmr-~)imr-
C ~i;;jiT1~i
i"TI!!!;o;o;o!!!
ZZ:Z::Z:-Z
>Ci)oo Ci)
r-."oo ;0
z~~ -
~~~
000000
Ci)"TI"TIOfl!
>$$O~
r-en m m ~ Ci)
-~~~~
~>!;>o
>oOz=n
_mm-4_
;o"TI;o r-
-4-- r-
en~ Z
-4r- Ci)
~
m
;0
i:
=i
Z
9
~
~
:z:
o
Z
m
Z
9
~
m
;0
o
o
Z
-f
;0
>
o
c
"
m
en
en
-0
z_
~~
mo
0""
::!~
0;0
z-
zo
0"
::!>
0"
mm
~
en
o
:::r:
m
c
c:
r-
m
C
CJ'
~~
i'l'fu-i
..!j
r~
,. 9lL/f-e-g
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT 9. 23. Of
(Please type, ~ ud """ ~
I ADDRESS II
-6(p Cj()- It. lJr'-1.
~: ~~;w f~~icant I PERMIT NO. 09 07bZ-1
ZONING (office use)
~ J- S ~---:
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
j" / dV kl<:
t./'I7-7/?t:?
h'J?J
(Address)
APPLICANT
(Name)
(Address)
(Contact Person)
(City) (Zip Code)
9-5 ;;;--7'W-/Cl YJL
DATE 7' /..;2./ /CJ:J .
APPLICANT SIGNATURE
PPLICANT PL A COMPLETE BELOW
DNEW CONSTRUCTION REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL I"Y')vY MVC-t:Jt..O FUEL IU~,L
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
HEATlNG OR POWER PLANT
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
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace
$49.50 minimum
Residential, Heating & NC (New Construction) $149.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) ,$64.50 Residential, AC Only
~
Estimated Cost $ ;;; / IJO Building Permit #
$49.50
$49.50
$49.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ '-11. s-a
$ .50
$ sa.eX)
(Office Use Only)
Suildinl! Official
Date
Paid 5b. lID
Date9 2..3. 0
0.58955
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