HomeMy WebLinkAboutHeating Permit 07-0827
5" 0 0 } (') 000000 "'ll 0 > -0
lJ) 0 :t ~ C z_
al cn"TIz"TI"TI"TI 0 0 ~~
g 0 !l 5: =iZ(J)~OO z m ::0 mo
> 0 " i: ~>c!l:iS m ;0 m 0","
r ^ zrs;:zoz Z (J) ::!"tl
~ r (J) m 9 (J)
>;, t > z ~ ::!li'l~Gl 0::0
z-
~ -i -t m 0 - zO
t<::> ~ en en o z 0
I -I z 0::0
S CD "TI
CIl )0- (5 ::!~
~ 01 0
0 -i Z o^
"T1 0 mm
~ 0 ~
::0 r
t::l -I r
"T1 "tl
~ :I: 0 ;:0
~ m ;:0 0 ~OODD
z ;:0 0
~ m m m "'ll(J)~3:"'ll
>< Z m mr~)imr
-I C OC -IOC
Z ~ (J) :z:!l: m:z:!l: 0
,. C5 "'ll "tl (J)
~ (J) m "T12!::O;:O;:o!!! m 0 0
~ "tl :J 0 ZZ:I::Z:-Z ::0 Z :I:
CD
:::! m :::!. -l >li'l00 li'l 3: -I m
~ 0 () (5 r"TIOO ;:0 =1 ::0 c
-I 0 Z -;lI\;lI\ - Z C
(5 3- zcc r
~ lD ~"'ll"'ll 9 m
z :"'! m C
~ "TI
~ 0
~
~ :I: ;:0
m
~ 0 0
c 0 fo
;1l < 000000
(J) m
~ Z ;:0 li'l"TI"T10~ Q ,.
> z >:ii;;O ....
Roo li'l ~mm!l:li'l m
C
~ < _"'ll"'ll"'ll~
~ > ~~~~c
z >OOZ:;;
0
""'l rn _mm-l_ ....
~ ;:O"T1;1l r
-i-- r i!
(J)z Z m
-I~ li'l
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec' d
~. ~i~~~w 1~~icant I PERMIT NO'()7~ 082-71
ZONING (office use)
"
if I~ /)
'1
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER~
(Name) -Xe~
~~~
.;; uIhk-,.. t4it.-v- ~l
(Phone) Cj?f:J.- - 7"~ .3 -- /0-('.5--
(Address)
~~;~~AN{k 7Jl~ ~_
(Address) vCf/ r /4'1i. .9-' pJ.
(Address)
(Contact Person)
(Phone) ~5;j -0/-f7~;J-
c2~~ ~a~ H,d ~5/;).-Y'
/ r - '(C?;) (Zip Code)
(Phone) 1'5;)-- ;/i/" ~/3;l-
DATE ~
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~EPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
DWarm Air Plants o Steam Units and Fireplaces Cannot Encroach
DGravity o Hot Water into Required Side Yard Setbacks.
o Mechanical o Radiation
~Air Conditioning o Special Devices Fireplaces with Box Additions or
Vent. System o Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $ n! tJ ~() . ~ t:
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~'60
$ ~ .50
$ 'f. rttJ
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
Paid 4-tJ ."
Date 8. 30. 07
Receipt No. 5 ~59,S"'
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372