HomeMy WebLinkAboutHeating 06-0681
5' ~ 0 0)(0000 "U ~ > -0
UI 0 ::J: C z_
-g en."Z"''''''' 0 C ~~
~ 3: ::jzen~OO z z ::u
0 Sl m mO
> 0 ::0 3: ~>Ci:!~ m ::u m 0'11
.... :"! " ~....S~~~ z en ::!"U
.... en m 9 en
:.a t ~ z O::u
"U - -I z-
t!l -t m 0 - zO
Ie .... en en o z 0
S cb ~ -I Z o::u
co 0 ::!>
~ UI 7' 0
0 -I Z 0"
." 0 0 mm
~ 0 >- ~
::u ....
~ -I ....
." "U
:to.. ::J: 0 ::0
~ m ::0 0 000000
Z ::0 0
~ m m m i:"Uen~i:"U
>< z m m....~>'m....
:.a -I en c OC -IOC
i ~ z ~ "U xi: mxi: "U 0 en
en m .,,!!!::U::U::u!!! m 0 0
Cl ~ "U ::l 0 zzxx-z ::u z ::J:
::! m (D -I >-1i)00 Ii) :r:: -t m
::t
tg 0 () (5 .....,,00 ::0 ::j ;U C
-I 0 Z -"" - z C
~ (5 ::l lJl zcc ....
- ~"U"U P m
z :"! m C
~ ~ ."
0
~ x ::u
m
~ 0 0 ~
C
::u 0 ~ ~
< 000000
en m
b! z ::0 C)."."o~ ~
>- Z > 5;;iii 0 ~
R- Ii) J!!mmi:1i) m
~ ~ _"U"U"U~
~>>>c
til z >ooz:;;
~ 0 _mm-l_
!'1 ::u.,,;u .... -4
-1-- .... i
en~ Z m
-I.... C)
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. j t()t,
~. ~::n ~~~. I PERMIT NO.6/". 0/- e I
3. Ye!low Applicant l!:" IS'
Please
ADDRESS
~5<O
rf-q rfotx\l (~
~( (' AJ f::
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
hOne)C(s.;- <{03 -(0 (
E
(Address)
APPLICANT
(Name)
(Address)
TE
(Phone)
(City)
(Contact Person)
~
(Phone)
~
APPLICANT SIGNATURE
ZONING (office use)
PID
(Zip Code)
l/'~
APPLICANT EASE COMPLETE BELOW
A c.. DNEW CONSTY,UCTION +- 0 AL TERA TIONS / I'
E MAKE AND MODEL ~01.-~-L ( ~r; FUEL ~~~r{Gr
FLUE SIZE RETURN O~INGS INPUT 30, olJO OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
~Air Conditioning
~ent. System
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $ ::;I.g--.:rS
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
3Cf~c:,o
-q .50
O.DO
"ffice Use Only)
fhis Application Becomes Your Building Permit When Approved
Paid --Id. (/ U
Date 7.2 r~ II tr
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
ReceipyNo'99fJ
By