HomeMy WebLinkAboutHEATING 08-0914
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CITY OF PRIOR LAKE
HE~tIONIN PLACE PERMIT
( /0:30 ~OV.34:~:w J~,,,JPERMITNO.oe.o9~
rint and si n aNl"tl iili') ('
o 4-~ j~
ISOTJ?' ST.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
#7, ,-U3
Date Rec'd
jO.30.0B
ZONING (offic~ use)
PID2S;: IS~.
OWNER . /
(Name) 13EIl/J7t/1 / N
I
L/tJ1I,eewee! (!.fi',e,oi-YA.I (Phone)
(Address)
APPLICANDu l
(Name) #lV
(Address) 361~ 1-.".... LOW
i/1~
~
-LI'\C-
/1vf-
(Address)
tV
(Contact Person) ill
APPLICANT SIGNA TU
(Phone) tfs?- ~7?- / i?1fe,
t1{^-' Ir~11A L ~o71
(City) (ZIp Code)
(Phone) 3'~ L
DATE Ip.3o
APPLICANT PL A COMPLETE BELOW
DNEW CONSTRUCTION REPLACEMENT 0 ALTERATIONS
E AND MODErGO oJ~ (jIHV 1'S"" t) 90 ~d)( FUEL
RETURN OPENINGS INPUT OUTPUT
---
TYPE OF SYSTEM HEATING OR POWER PLANT
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
OWarm Air Plants
OGravity
j1echanical
Air Conditioning
ent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AIC ('1ew Construction)
Residential, Heating Only (NI~w Construction)
Estimated Cost $
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.
$49.50
$49.50
$49.50
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BuUdin!! Official
Date
$
$
$
4-'1,50
.50
50, Or:;
Paid...:rv. UlJ
Dat,90..3b. oj"
NO~-Z/1;10
24 hour notice for all inspectio s (952) 447-9850, fa 52) 447-4245
4646 Dakota Street S.E., . ta 55372