HomeMy WebLinkAboutHeating Permit 07-0788
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
[Llt.v 7
; ~i:n ~!~y I PERMIT NO. (j 7. 67&6 I
3. Yellow Applicant , '
y
~ase
ADDRESS
'1/20
II J4 f'1 S
c;/~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z....S", 4-04-- . 6 04- ,0
~
(Address)
)
('J1JLlS p jJ
/-I~~ 5> L P- .
(Phone) 1'>2'- 2)3'. z7lf D
OWNER
(Name)
,t~t,K
20
^
(Address)
~"1tA..L v IIc""'>4-Jf .-- G
? O. /3 OX J
(Address)
.~~.':J
A-, ~+- '~hone) L. i '2.. - ? ~ (r) - (7 3 73
:;::)$ ("h'\.L) t-1"~ r }.;f t'\.l ~ 5"c, t.. 8
(City) (Zip Code)
y...
APPLICANT
(Name)
y (Contact Person)
~
(Phone)
DATE
~-3 '7 3>
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT AL TERA TIONS
c URN ACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
HEATING OR POWER PLANT
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.
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
D Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
tAS rv F, rZ.E f,T
FfRbyLACE MAKE AIm lVIVUE"L
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
31. SO
.50
/f<;. (/0
(Office Use Only)
"his Application Becomes Your Building Permit When Approved
~.
Date
Paid 40- (IV
Date (:5, ,1. VI
Rec i t No. !i 4-Sc" 0
By
Buildinl! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372