HomeMy WebLinkAboutHeating Permit 07-0578
:::J ~~ 0 000000 "'0 0 )> -0
VI :J: :e c z_
"0 0 ~:;!
<D :s:: Ul"TIZ"TI"TI"TI 0 Z C
g 0 n. o 0 ~zm~OO z m ;:u mO
)> ~ ;D ;D s: !!!>Ci:~S m :::tl m 0"
r ;D " zr-r;zcz Z m ::!'V
t>:I r- m m m 9 en
~ t o > Z ~ :::!Ci)~(j) O;:u
t>:I -I -I z-
-t m 0 - zO
~ .... > - o Z 0
S . o m CJ) -I Z o;:u
co -I "
co - > (5 :::!!;
~ Ul o 0 ~
~ 0 Z -I Z 0"
"t1 > 0 mm
~ 0 Z ;;U
;;U 0 :< "
~ -l "tI "tl 0-
:l.. J: ;;U
~ m 0 000000
Z ;;u 0
~ m !!! m m i:'Vm~i:"tl
)( m m ~
-I Z 0 0 m'~)>mr-
~ Ul OC -IOC
~ ~ z ~ 'V J:~ mJ:3: "tl 0 m
~ (I) m ,,!!!;;U;;U;;u!!! m 0 0
~ "tl :::J 0 zZJ:J:-Z ;:u Z :J:
::! m C1l -I >Ci)00 Ci) EC -I m
:::l.. (5 ~
~ 0 (") r-"t100 ;D ::j ::a c
-I 0 Z -,,'" - C
5 ~ lJl zcc z r-
z m ~'V'V 9 m
c " 0
~ N 0
.,..
:J: ;;u
m
~ 0 0
c
;D 0 ~~
(I) < 000000
m
~ Z ;;U Ci)""om S ~\.-v
z
Ao )> Ci) >:ii:ii0~ ~ n: ,C)
0 ~mmi:Ci)
~ < _"tl"tl"tl$! ~"-S
~ > ~~~~c ~
z
0 >ooz:;;
"'"l [T1 _mm-l_
~ ;;U"t1;;U r
-1-- , I:
mZ Z m
-I~ Ci)
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~:n ~:!:y I PERMIT NO. (j"-T. oc-l(j I
3. Yellow Applicant , -::..> -U '
<,lease
ZONING (office use)
5D foo & ^-Lo t"Lr C;I- S' ~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z_<;"". 0 Zft _ DO S-. 0
OWNER
(Name)
~4
S4-m 'L
(Phone)QSJ-r...{flt cjl~ )/
(Address)
APPLICANT
(Name)
BURNSVILLE HEATING & AlG, INC.
3451 'N. Ourtl$vilie Parkway
Suite 120
o (A~w;gpvllle, MN 55337
(Contact Person) c) i-L i" ~'-- P
APPLICANT SIGNATURE ~;;. S~c-~\tL~
(Phone)
(Address)
(Phone)
(Zip Code)
y
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~ AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
iMechanical
ir Conditioning
Vent. System
D Steam
o Hot Water
D Radiation
D Special Devices
o 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
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
de; 67J
.50
-'-I (J . 00
(Office Use Only)
Buildin!! Official
Date
Paid 40 /
.0 ~)
Date t. 's (,'
ceipt NOS4-08 0
'his 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