HomeMy WebLinkAboutHeating Permit 11-0697 AUG. 1.2011 3:33PM METRO AIR 952- 447 - 8126 NO. 482 P. 1
V R ZO CITY OF PRIOR LAKE Date Ref d
�: HEATING /AIR CONDITIONING /FIREPLACE PERMIT 8. 1. ' ~ '
`4„'IVaso., a P PERMIT NO
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7. Yo Appli�nnt to
JPlesac type or print and sign at bottom
ADDRESS ZONING (office wc)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER (Phone) (.0 k -s 1 8 " 3 V
(Name)
IL
LSAddreSS) k- 1v1 S (2 U O1 &41, & 11 -
(N )- r• ) L (Phone) .5.K \A utailii.m .
(Address) ___\\,,t 91 C \ kk V v. c , '
(Andress) (ate ^� (Zip Code)
(Contact Person) ■ h ^ ' . :� (Phone) d S v1 - a•
APPLICANT SIGNATURE hi, •—.., DATB
APPLICANT PLEASE COMPLETE BELOW
ENEW CONSTRUCTION ,' REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL 6 ,. 4 ( t. N-.1, IQ, FUEL ,__N___qi7_____
FLUE SIZE ' V t.. _ RETURN OPENINGS INPUT 'A ' OUTPUT l
TYPE OF SYSTEM BEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
Warn► Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
vity ❑ Hot Water into Required Side Yard Setbacks.
Mechanical Radiation Fireplaces with Box Additions or
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SAir Conditioning Special Devices Cantilevers to the Outside of 13uildinga
Client System 111 Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL , .
FEE SCHEDULE
Industrial, Commercial & Multi•Pamily 1% of job cost Residential, Gas Fireplace 549.50
$49.50 minimum
Residential, Heating & A/C (New Construction) 5149.50 Residential, Additions & Alterations $49.50
Residential, Heathig Only (New Construction) $64.50 Residential, AC Only 549.50
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Estimated Cost $ �Q� ' 5Y Building Permit #
HEATING PERMIT FEE $ \1 CI
STATE SURCHARGE $ 5 "" '
TOTAL X'} MIT FEE $_g___,•______
(office Use Only)
This Application Becomes: Your Building Permit When Approved Paid , WAN, tNo. rr
Date , Valli Building Omdal Date /
24 hour notice for all Inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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