HomeMy WebLinkAboutHeating & A/C Permit #12-623 __ � O O� C) ❑t700�0 � O A ZA
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� o � rRro� CITY OF PRIOR LAKE Date Rec'd �
� � HEATING/AIR CONDITIONING/FIREPLACE PERMIT � ��.�Z
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? Q1jN� 1. Itink Pa� PERMIT NO.
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j 3. Ydlmr Applicem
ease e or ' t and si at 6ottom
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ADDRESS ZONING (oe6ce �e)
' �C�� I ��Z?�"-�' Sf ��
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LEGAL DESCRiPTI4N (ofl(ice use only)
LOT BLOCK ADDITION PID
(Name � ���' � � � �- Yl (Phone) �J�� - 0 c.� - �� � ,
�Aaa��} �n� . .�3��
APPLICANT Kline Corp.
��e� DBA: Practical Systems fP�ne)
� 4�42B Shady Oak Road �
Hopkins, MN 55343 �c�cy> (zi� coa��
9�2-933-1868 )C �vs �QCL�i't,v�-�phone) �
{Contact Person)
APPLICANT SIGNATURE DATE (� '�� '��
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A.PPL CANT PLEASE COMPLETE BELOW .
QNBW CONSTRUCTION f �REPLACEMENT (�'ALTERATIONS •
FURNACE MAKE AND MODEL (.�CtI'1'�`e+^ 5zl T% 5/� b(o v Fu�[. ��Cc� ,
FLUE SLZE 1tETURN OPENINGS INPUT ?JU OUTPUT �S� cID �
TYPE OF SYSTEM HEATING OR POWER PLANT �
PLEASE NOTE: Air Conditioner
�Warm Air Plants ❑ Steam Unfts and F9replaces Cannot Encroach
�Gravity ❑ Hot vVater into Required Sfde Yard Setbacks.
❑ Mechanical ❑ Radiation �eplaces with Boz Additions or
,�'Air Conditioning ❑ Special Deviccs
[]Vent. System ❑ Other Devices Cantilevers to #6e Ontside of Bulldings
Reguire a Building Permi�
FIREPI,ACE MAKE AND MODE[, OZ �/ L
FEE SCHEDULE
Industriai, Commercial & Muld-Family 1% of job cost Residentia(, Gas Fireplace •$44.50 �
$49.SU minimum
Residential, Heating & A/C (Tfew Construction) �149.50 Resider�tial, Additions & Alterations $49.50
Residential, Heating Only (New Construction) 564.50 Residential, AC Only $49.50
Fstimated Cost $ Building Pcrmit #
The Minnesota Stntutes � 32GQ.148 .
HEATING PERMiT FEE $�� � U "SGRCE-lARGF.," hr�s been etittngec! I'or one
yetu' effective
STATESURCHARGE $ _C1 � .)�dyl.lUl(f,u�iti3,1unc3U.2U11.
TOTAL PERMIT FEE $_j �L � T6r minimum sarckar&e for a " CIXt(1 PM'� permit
(OPAce Use Oaty)
is;,,�, beginnin� du[y 1.2010
This Application Becomes Yoar Building Permit When Approved Paid�'r�1� -� Rec ipt o/� �� � ?
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Baildine Official Dste Da ��� L/ i�Z—�
24 hoar notice for all inspestions (952) 447-9850, fayc (952) 447-4245 ,
4646 Dakota Street S.E, Prior Latce, Minnesota 5537Z