HomeMy WebLinkAboutHeating Permit 07-0490
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
ADDRESS
5.., 5 ~~ ..~ n c- '0. n 1. A <:""-=-.1- c y
__ -/~00 __Lf'\I,..ru_ ~'\., 0 '-~
~. ;.~;w ~J~icant I PERMIT NO.O/. 04-90
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
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C' -- r- iC' C:' r:
{Address},:JLJ ~ . --;t:- ~')C .J
(Phone)l S~ -1.4'-tO-14*~
APPLIC~T '. <:" . . c-' .... .-+4 jc ~/C /1 9r
(Name) 'L..D.n GJ(\\) \erS ~h~i CJ-!L...\, '.1 c; cl (Phone) '-15 ~). -I+~ I - 70 . '1
(Address) ( . - i~. 'I-H --tb:' . ~ I \~" ~'h ,;), ~
(Address) j (City) _ (Zip Code)
(Contact Person) ( (Phone) ~--j),. -I--\-~ i - ',Oqq
APPLICANT SIGNATURE DATE (~1 j) -0 7
APPLICANT PLEASE COMPLETE BELOW
A-I e- DNEW CONS\RUCTI~)N ~PLACEMENT. 0 AL TERA TIONS
F"R}lfCE MAKE AND MODEL Co.T rl.JLr - d lb. tbr"\ - a'-l frB~~L
DWarm Air Plants
DGravity
~echanical
. ,Conditioning
Vent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
$39.50
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
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
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ~ Building Penn it #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~ c'
" -1-1. :::LJ
4C).2f)
"ffice llse Only)
Building Official
Date
Paid 1v. uIJ
Date t. Ii 01
P No. 54-t104-
fhis 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