HomeMy WebLinkAboutHeating Permit 14-1269 F PR/0
CITY OF PRIOR LAKE Date Ree'd
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°i•eq HEATING/AIR CONDITIONING/FIREPLACE PERMIT 1//r 2- ,/
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I.Pint File PERMIT NO. /4-
44NNEsol' 2.Green Cite
3..Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS a ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
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(Name) (Phone)_°62.-Un -1 l
(Address) \ pLCI CJ '1 tA,N.Q IAA,
APPLICANT. . n ,,nn
(Name)_ C 1. ` - .- _(Phone) CoCE2 2_5"-._ l
Address x lb" a1(51A.I . 6'5-531
(Contact Person) .42 (Phone) ___--
APPLICANT SIGNATURE --- DATE 4t2 14
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION XREPLACEMENT DAUFERATIONS
FURNACE MAKE AND MODEL I;UII,
FLUE SIZE RETURN OPENINGS INPUT OUTPUT •
TYPE OF SYS'T'EM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner
D Warm Air Plants DSteam Units and Fireplaces Cannot Encroach
DCiravity DHot Water into Required Side Yard Sethacics.
0 Mechanical D Radiation Fireplaces with Box Additions or
El Air Conditioning 0Special Devices Cantilevers to the Outside of Buildings
DVent. System ['Other Dev'ccs �' Require a Building Permit.
I:I(tEPLACE MAKE AND MODEL', f cx,a_ —
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,Ilcaling Only(New Construction) $64.50 Residential,AC Only $49.50.
Cost$ _ Building Permit!!
HEATING PERMIT FEE $.
STATE SURCHARGE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
_ ,'his Application Becomes Your Building Permit When Approved Paid 3$ID Ref t No. G.,„
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Building Official Date Uate�� `
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake, Minnesota 55372