HomeMy WebLinkAboutHeating Permit 07-0782
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
El~i=t I PERMITNO'07~078zl
ZONING (office
use)
at bottom)
ADDRESS
510:;..0 /50 +1, st. 5E
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID 2S.
OWNER
(Name) W i I \ ,'Cl.VY\ By VY\ClV" k
150 th Sf. S E . Pr" 0 V LcJ< e... /vi. N 55 372
(Phone) 952- 447- 2271:,
(Address) 5 to 2-0
APPLICAm . ..L... J J_ _..L' J1 . IJ.A .J:..J.' . 52 8 ' J
(Name) DJOOmlt\,9lun (iCLLi 1f1j.[ IT/V LVnOff/OnJIJjPhone) q - ~'f- 3552
(Address) IatfD vJ. q'd-hd Sf. Bloom in rIv n .5sL/~
~~ ~ 3 ~~
(Contact Person) Sc..c t N-e.w a.o.rd (Phone) 15 Z - ~8 ~- 35S2-
APPLICANT SIGNATURE DATE 7 -:5 tJ'TJ7
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL Ca-rr; & .sE/A VA 080 - /I cf FUEL na.fu.ya..1 !Jas
FLUE SIZE '2 Yt- f' RETURN OPENINGS INPUT go ,000 OUTPUT 710 ,000
,
TYPE OF SYSTEM HEATING OR POWER PLANT
~warrn Air Plants D Steam PLEASE NOTE:
Gravity o Hot Water Air Conditioner Units
o Mechanical D Radiation Cannot Encroach into
~ir Conditioning D Special Devices Required Side Yard
Vent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50 -
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ 39.50
$ .50
$ 40.00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
Paid 4<J, 0 cJ
Date 5 I It., "
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245