HomeMy WebLinkAboutHeating 07-0428
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i ~::n ~!~y I PERMIT NO. /)7- /ui/20l!
3. Yellow Apphcant L l.J1&r; V,
C.S-71
~-\: i \ \ ('-,eS'=~ ~. ':JL"
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) ~~ er
(Address) (, . I
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-t . -XI I ~-e.J
+-\- i \, ('~C(' <:'
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(Phone) Ct=~- Ll'4 '7 - c)~ -7 g
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APPLICANT
(Name) IY\ r-.. uJ::-tJlt'r~"').. C ~-+tbd [) ,.~ . (Phone) q ~.;l.-4-0\ - ri oq q
(Addre,,)16) ~ LU. 1~--1n ~. ~ ICL '- Oppl e Yc;;U '1. . f'nJ 5Sl ci'-l
(Address) I City) J) (Zip Code)
(Phone) QSJ. -4~\ - 'l'oqq
DATE {~~. .)~-O 'j
(Contact Pe",on) ( luG.... '1
APPLICANT SIG~ATURE ( I "LL.i..tt)~ t L J.,/.t ,'-_
APPLICANT PLEASE COMPLETE BELOW
hi C ) DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FUKHACF: MAKE AND MODEL-~U U rt . - \. i~r--1LD ~ 4:~~f"") FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWann Air Plants
DGravity
o Mec:hanical
.~ Conditioning
OVent. 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
Residential, Heating & AIC (New Construction)
Residential. Heating Only (Nt:w Construction)
Estimated Cost $ 150::1':
I
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~3q.5D
~
YcJ~ .
ffiee llse Only)
fhis Application Becomes Your Building Permit When Approved
l..= B.lld1., om",. Dol'
Paid 4tJ. 6V
Date / I '7
(jI, -,.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
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