HomeMy WebLinkAboutHeating Permit 11-0477 5 0 2 ► 0 000000 - 0 0 n En
A 0 k 0 0 0 g jkk�3o 0 m x \
�co m o
k § m k § J" § \§ƒd § $ §�
S q ® ®® z
f w 0§ 16.... cn m k$ § x
....
to
7 / 0 ° '� �� z P § /
\ 0 > z \ III •
q \
\ 2 0 0 *30000 ■
M mmm, m z -0 � * ■�
X
E a0
M m r
o -1 o 0 z
0 -o 1 i m?C -0 0 »
)§ K £ m k zI2 z m Z k
o
2 2 m§ w �oo m¥ G
trj 0 / \ • r > \§ z a E /
r 0
\ k ` 3 6
I M
q 0 —
/ IA DO=DO=
\ } o k§§)§
)
cn > W ; >
o >gg
) R To -n m�( 2
)� - E m
ar- 0
rRrp CITY OF PRIOR LAKE Date Rec'd
� � HEATING /AIR CONDITIONING/FIREPLACE PERMIT
�I '� 1. Pink Pile
NNESD 2. Green City PERMIT NO. • 4,. ,
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
L 5a9 H /VC
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER a t -bn e9an 15' 1 1 1 { 5 • G
(Name) N v (Phone) "
(Address) I1 urifwAn bwwd Tfo t, N 6 1
APPLICANT ����"" J cc
(Name) 'RD \E MQ,)i 1 Y\ Ca E (Phone) GIP' P' 11 `'il'Ic 7 �C�
(Address) \a0E0 old '(;jV C'. \kO d K.-t Sha1O 6f)
"
(Address) (City) (Zip Code)
(Contact Person) L I V\Gh (Phone) GI I; -D--- t I 4- gig
APPLICANT SIGNATURE midi \ 0 ' h DATE t -8-, 11
APPLICANT PLEASE COMPLETE BELOW
r
I ❑NEW CONSTRUCTION [v'1EPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL IZtkka 1tA'P rrl no 3-fin^ FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravit ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation
DAir Conditioning ❑ Special Devices Fireplaces with Box Additions or
❑Vent. System 0 Other Devices Cantilevers to the Outside of Buildings
1 Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum •
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
lilt; 1V11n11GJUla Jl4IULGJ 5 .7LtiD. oto - )St $ Building Permit #
"SURCHARGE" has been changed for one
year effective
J ve [EATING PERMIT FEE $ Lq . SD
July 1, 2010, until June 30, 2011.
The minimum surcharge for a' fixed fee" permit TATE SURCHARGE $ S .00 .50
is $us, beginning July t, 2010 OTAL PERMIT FEE $ SLE •'sD
This Application Becomes Your Building Permit When Approved Paid J /L S� Re • tt No. 6, 9 g
Buildine Official Date Date 6 /4_ //
+ .
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
It
likellek= • 1 .
b V 14 v