HomeMy WebLinkAboutHeating 07-0978
5" o((j 0 000000 '"0 0 > -0
UI 0 :J: ~ C Z_
~ 0 ~ en."Z"''''''' 0 0 ~~
~ 0 n 0 s: ::::jzen~OO Z m ::u mO
> 0 ;0 ;0 3: ~>Ci:~S m ;0 m ~."
, :1 ;0 " Z'>ZCZ Z en
, m en m 9 en -'"0
~ t 0 > z ~ ::!(;)~C) 0;0
-l z-
t'Il > -l -i m 0 - zO
to ~ Cii en o z 0
. 0 -I Z 0;0
S CD -I ~
CD 0 ::i~
~ Ul 0 0
0 Z -l Z 0"
." > 0 mm
~ 0 z ~
;0 C
~ -I ." '"0 '"0
~ :J: 0 ;:0 ;:0
~ m ;0 0 0 000000
Z ;0 0 0
~ m m m m i:'"Oen;Ei:'"O
X Z m m m'~>m'
-I C C OC -IOC
en
~ ~ Z ~ " :x:i: m:x:i: '"0 0 en
~ en m .,,!!!;:O;:O;:o!!! m 0 0
~ '"0 :J 0 zZ:x::x:-Z ;:0 z ::r
::! m CII -l >(;)00 (;) 3: -I m
:::t 0
~ 0 () ,.,,00 ;0 =t ;0 C
-I 0 Z -"" - Z C
0 zcc ,
~ 3- lD ~"O"O 9 m
Z :1 m
~ ." ~, C
N 0 ....
.,.
~ :J: ;:0
m
~ 0 0
C 0
;0 < 000000
en m ~~
:t! Z ;0 C)."."o~
> Z >;:0;:00
Ro 0 (;) ~mmi:(;) ..........m
~ ~ _"O"O"O~ l!
~ Z ~>>>c
0 >ooz;;
~ !'1 _mm-l_ ~ ....
;:0"';:0 ,
-1-- , i
enz z m
-l~ C)
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ~ ~:~ I PERMIT NO.O'? (jq76
3. Yellow Applicant , U
ZONING (office
11!ll!)
\~loY \ \-\ \
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z-~. 14-3 0 ( 5 " ()
OWNER
(Name) ~ \\6 \ \ ':j Q::~D,y-\-e- \
(Phone) q ~d- - 3. cllo - lo~j \ Y
(Address) l':SloY
t
g
C
:1
APPLICA~
(Name) ul')-t-r"" C> \ \ ~ ri
Hlr
(Phone) (D>::J \ - 1--\ LoD. ( 0 C a ~
(Address)
o IA \ 0 E-c~+rX\
hiE->
(Address)
\=0 v V,\, \ "c;o'
(City>---
550~W
(Zip Code)
DATE
PL :ANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION PLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ), n 11 ~ y.. \/ q ~ FUEL ~ G
FLUE SIZE RETURN OPENINGS INPUT LD q ~()C OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) '^'- 05?J
lOJ:~17
(Contact Person)
OWarm Air Plants
o Gravity
[;?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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % 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
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$3q .50
$ .50
$ YO.oO
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BuUdine Official
Date
Paid 1-o~oo
Date 0 ,1-]
10,{ ,v (
0'0+132. z..,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245