HomeMy WebLinkAboutHeating Permit 09-0606
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AUG 11 2009
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PE
I. Pink File
2. Green City
3 Yellow Applicant
Kwoog
ZONING (office use)
J0-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
~ -1}(// ~UrJ1
(Address)
One Hour Heating & Cooling
1904 Venni11ion St
Hastings, MN 55033
(A~I) 437-4177
(Phone)
APPLICANT
(Name)
(Contact Person)
DATE
SE COMPLETE BELOW
PLACEMENT 0 A!tTERA nONS
,-I s~1tJ31? S'f() FUEL
II&-
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
~ir Conditioning
tJ'\rent. System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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
Residential, Additions & Alterations
Residential, AC Only
~
~
Industrial, Commercial & Multi-Family
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
tf~. 5"iJ
.50
SO. all
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
iPtN05110(
Paid
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372