HomeMy WebLinkAboutHeating Permit 09-0817
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/0. q,oi
1. Pink
2. Green
3. Yellow
ADDRESS
5595 Amblewood Dr NE Prior Lake
Ji~icant I PERMITNO.O~ 0 8/~
ZONlN'G (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill
OWNER
(Name) Lynn Buffie
(Address)
5595 Amblewood Dr NE Prior lake 55372
(Phone) 952-496-1734
APPLICANT
(Name) Ron's Mechanical Inc
(Address) 12010 Old Brick Yard Rd
(Phone) 952 - 44 5 - 8585
(Address)
Shakopee MN 55379
(City) (Zip Code)
952-445-8585
(Phone)
(Contact Person)
Linda
APPLICANT SIGNATURE
~
DATE
IO-S'O~
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION EPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL Ca..,rru.V' ~ '0 \J\ \)LblRO FUEL ;Vl1
FLUE SIZE RETURN OPENINGS INPUT ~ ,()~V OUTPUT ~:iOOD
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING 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
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50
$64.50
$49.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$49.50
$49.50
Estimated Cost $
Building Permit #
(Office Use Only)
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
J.jq.5O
~.50
fjt).
This Application Becomes Your Building Permit When Approved
.BtdIdfq 0ftIda1
Date
P8;A ~_-
5'0. 00
Date 1(/# 'I. ()
Receipt No. 5t,tJ/z-
By
24 hour notice for all iDspecdb.. (952) 447-9850, fax (952) 447-4245
4646 Dakota Street ME., Prior Lakt, Minnesota 55372