HomeMy WebLinkAboutHeating Permit 07-0714
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~n ~~;y I PERMIT NO. 07. () 71 A I
3. Yellow Applicant . ~
ease
ZONING (office use)
ADDRESS
73
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25. 31(P, 003.0
(Phone)
95d-~ ~3735
)Q fYllV
553
~~;~~~~~ff~=r13 <I- 1=\n3~(PhOn') 7'sd-49;)-~:l7<P
(Address)? YLJ 0y, I rnN t55d:;l.
I (Add s) (City) (Zip Code)
(Contact Person) --.JU I ... (Phone) tj5';;;-t;/;;) -9;)70
7.
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT AL TERA TIONS
. LiRNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
HEATING OR POWER PLANT
FIREPLACE MAKE AND MODEL
Q
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
R uire a Building Permit.
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
r::::::^ -;
~!
$39.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$ 39. .S-O
$ .50
$ LfI;J, () ()
(Office Use Only)
Buildinl! Official
Date
Paid-f'O .()O
Date ? (. (,'7
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372