HomeMy WebLinkAboutHeating Permit 10-0589
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
'7. B.IO
530/ BI200K--S V ~UE
ZONING (office use)
~. ~~~n ~~!~ PERMIT NO. '0. 5f)
3. Yello\', Applicant II
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Phone)
(Address)
~ ';-.
50:0
A.PPLICANT,t:: ~. ~
(Name) (. C.
~ddr~) ~ ~S-:2.-
~~~)' 0/')'-~-=?~ --5~~1
~hrJ...,,~, ~~??2
(City) (Zip Code)
APPLICANT PLEASE COMPLETE B
DNEW CONSTRUCTION D REPLACEMENT
FURNACE MAKE AND MODEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
LOW
D AL TERA nONS
FUEL
OUTPUT
DWann Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
---
t I
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,
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % 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 #
Date
$ 4-7 s'7'
~-uU
$ ~..=,.
$ 59'. ~?)
/
PaidS 4- . 5-{)
Date? y. l C
Receipt No. GJ/Y 4'tJ'
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BuUdin!! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372