HomeMy WebLinkAboutHEATING 08-0923
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NO. 0/3.072.31
.
ADDRESS
70 Cates Sf Sf
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER /.", c~nn
(Name) ~_JiAJ.lr_~) { . 10
(Address) (70 '!,5 -1 Sf Friar Late
~;;~~mn5 fv1fChanl(a 1 In6
(AddreSs)/20iO O/c~ 8UcK YarQ Rei
(JJ dcr (Address)
(Contact Person) J j
(Phone{CfB2)~Lfo-l0~b
APPLICANT SIGNATURE
(Pharr 0'52- J ~ Lf !J~9 595
ShaKotrf 5537q
(Phone) (@~ Lf~!T e5fJ5 Code)
YO.Jt(jvV
DATE
APPLICANT PLE
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL Q,LLUJ;)
FLUE SIZE RETURN OPENINGS
SE COMPLETE BELOW
EPLACEMENT D AL TERA TIONS
L 'Q(JJ FUEL \J b
INPUT ~ ,000 OUTPUT 'tD, ex:5<J
DWarrn Air Plants
~avity
echanical
Air Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
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.
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$49.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$49.50
$49.50
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
4<=\.':1)
0) .50
YJJ.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
Paid 50. c./U
Date I 7' ,,}
/.j.cJy
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372