HomeMy WebLinkAboutHeating Permit 07-0725
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CITY OF PRIOR LAKE DateR~'d
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
t.~!r:, 0 3 2007
~. $:~~w Ji~icant I PERMII.Nf}~~rrtt~1z51
.'lease
ZONING (office
use)
/lCL
,-- "/
/ZA.
~~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25. VC 7 . 0 11 . 0
OWNER
(Name)
Cd-tj-
LeY/~
(Address)
/61-lJ7
~.'I ~~
(Phone) CJ 5L ~/L- 71f
/Ju1J~ - ~~ /J--.-z~
APPLICANT
(Name) ANGELL AIRE, INC (Phone)
12253 Nicollet Avenue South
(Address) Burnsville, MN 55337
Telephonp.' 952-746-5200
F~~~7 46-5202 (City) (Zip Code)
(Contact Person) .Ie' ~ (Phone)
PPLICANTSIGNATURE 17 ~ DATE 7 G..-S / q-
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT D AL TERA TIONS /1/-1-.
FURNACE MAKE AND MODEL .5-~A")- Jl(~""~u$b ()lPo FUEL
FLUE SIZE RETURN OPENINGS INPUT b II. "'.u;:> OUTPUT .:s- ~. .)- -\) <:)
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ S "8 l.. tf -
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
Buildin!! Official
Date
Paid /1.-/
iLI_ UU
Date (/ .
a ,c.. (.,
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245