HomeMy WebLinkAboutHeating Permit 07-1156
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CITY OF fRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
D!tt Kt('~
/ Z. J-. () 7
~. ~~~n ~;~y I PERMIT NO. 6 7- / /5" I
3. Yellow Applicant ,
ADDRESS
ZONING (office use)
~*'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICA}.f{ , 't
(N ame) '~l" or L c....-'I...e- lIIs ~ tl I ~
(Address) J l,~)s L./ ~h6J~ &-z>dL
(Address)
C-f-
(Phone) 9&"), -iPI 7 - 811 D
4-lti}r LJ4..
(City)
A'1"v5:~~ )~
(Zip Code)
(Contact Person)
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION .;i8. REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AljD MODEL J)m,.,r I ~L.. ~ 'S-\-~V"'1)e"~ . FUEL -.l1!/l r
FLUE SIZE N L RETURN OPENINGS INPUT ~DbOO OUTPUT 7~ai)
TYPE OF SYSTEM
~ Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o 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 & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
fiee U se Only)
Buildinl! Official
Date
Paid A-
'Iv. r/V
Date I Z- _ C. u
~ 03 Z--
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