HomeMy WebLinkAboutHeating 08-0490
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CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i ~~~ ~:~, I PERMIT NO. 08 0 4-O/\.1
3, Yellow Apphcanl , .' f I v ,
ZONING (office
use)
WtLLOwwooi)
51.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~~~ L()IU?~N,J
(Phone) lD J 1 ... j \ (., - I Y 13
(Address)
-
\..{ J 7") W lL-L 0 v--J (;..J,)J V
'"':)7
APPLICANT
(Name)
(Address)
Fl a.2 ~,i)~ 1~1\\l i\1 ~
2/00 FAt 1-", 1l;'\..J Itv~ JJ (
11.0111 C. (Phone) to~ 1- Co 3 3 -/u\.t 2-
~)6 V,u~ l,t(,.j -33 113
'Contact Person)
(City)
(phone)
....... (Zip Cod~
~~ J- ~3J-1 oY L
11/00
DATE
APPLIC T PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
APPLICANT SIGNATURE
OWann Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent, System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
/> ,- ~\L 'I t() , r-l1Jv)1\J 5
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39,50
Industrial, Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39,50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin2 Official
Date
Paid1:'O _
Date
7. lO..Vr
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245