HomeMy WebLinkAboutHeating Permit 09-0835
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
lease
ADDRESS
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Date Rec'd
/O.14-.oer
t ~i:w ~l~icant I PERMIT NO. OC}. 0 tt5$
ZONING (office use)
LEGAL DESCRIPTION (office use only)
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ADDITION
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APPLlCANTfV\ '" \_
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(Contact Person)
(Phone) \0 \ d -lo I ~ _S"'1.r- ~-
(Phone) ~r~ -Yl.r)-~\d. ~
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DATE :s -
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION REPLACEMENT 0 AL TERA TlONS
FURNACE MAKE AND MODEL ~~ ~"'"\ +- ~ ~ ~ c...A V ~ 11 ~ () ~ FUEL N ti .~
FLUE SIZE "0 \l L RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$49.50 minimum
Residential, Heating & AlC (New Construction) $149.50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $ '"?> ~ ~ ~ ~
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
D Steam
o Hot Water
D Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Duildin!! Official
Date
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.
$49.50
Residential, Additions & Alterations
Residential, AC Only
$49.50
$49.50
Building Permit #
$ ,-\qsa
$ S .50
$ (:)~
Paid SV. f/D
Dat'lo ./4-. tJ
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372