HomeMy WebLinkAboutHeating Permit 06-0758
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
e./f).Ofo
i ~w ~~icant I PERMIT NO. d(' ~ 0 7S~ I
\ l\L L.. 1.J ThJ '<\-\ 0.\ V'\ \.--\-\( \ S C-r N
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z.S-. '3 'If) . 6 z,(" C
OWNER
(Name)
(Address)
.1 D~~'" j\"Y\.t-\V'-
\ \..\ l...1-s'M>,;,",,-\tAtA \~ \\ s
(Phone) 0\51-- 2.. \ ,- 5$lo~
G, N
(Address)
~
~ (0\ ~PhO~ \oS\-l.-lfr ew", J
~19ew~ fY"V\. 55~O1-
(City) (Zip Code)
(Phone) (P6\-1..:'1. ~ .- C\O'" I
o.vy[) DATE ~ LnlOv
APPLICANT 9- _ l" ~
(Name) ~ ~
(Contact Person) CO\C\l.t-
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION fXI REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
&lAir Conditioning
OVent. System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
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.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit # 0 (" 6 7 SfJ
$ D~ ,J;O
$ .50
$ UO.DU
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
lice Use Only)
Date
/H). 00
8. z..1- IJ (,
fhis Application Becomes Your Building Permit When Approved
Paid
Buildin!! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245