HomeMy WebLinkAboutHeating Permit 14-0886 j8 0 ❑ ❑ ❑ ❑ mm _ > y
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o� P RIo, CITY OF PRIOR LAKE Date Rec'd
H HEATING/AIR CONDITIONING/FIREPLACE PERMIT �s 2-5: JUL T
U
�'j�'NESDcP t.Pink File PERMIT NO. y////JJ ,'"
2.Yello City I ( I 0
1—Z1
3.Yellow Applicant ///
(Please type or print and sign at bottom)
ADDRESS ZONING office use)
3359kh /dua�j) 'F/ Pvk) P u 6
LEGAL DESCRIPTION(office use only) / ,i
LOT 1 ( BLOCK 1 ADDITION*e S"e7h/ 4Jt —'/ PIDo -�- 3g3- ,
OWNER �,/�,�
(Name) (c Vid erS / --' (Ph e)
(Address) 3 a S—I' l/��1 q O �Y i V `''�O 1 ,dthI k 1 1v
err_
APPLICANT 0at S t r C)M
(Name) "� tAeCtik-4\— (Phone) t
(Address) 1 Q GQ 1r r i 1 Y(V� ) 5S _
A3dress) / (City) (Zip Code)I
(Contact Person) �� 4. to iii — (Phone) " � ' �—/��
APPLICANT SIGNATURE //. DATE
.
APP titANT PLEASE COMPLETE BEL W
❑NEW CONSTRUCTION ❑REPLACEMENT ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
ty ❑Hot Water into Required Side Yard Setbacks.
echanical 0 Radiation
❑ it Conditioning 0 Special Devices Fireplaces with Box Additions or
❑Vent.System 0 Other Devic s Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL /-M2;!--*-_iD/ _ -
0 5.7--
EE SCH I . •
Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50
$49.50 minim .
Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
The Minnesota Statutes§326B.148 7,Ost$ Building Permit #
"SURCHARGE"has been changed for one
year effective HEATING PERMIT FEE $ 41, 50
July 1,2010,until June 30,2011. STATE SURCHARGE $ c5..O 060
The minims5,surchargefor a"fixedfee"permit TOTAL PERMIT FEE $ 5-4-. 57?
is!�5,beginning20 July 1,2010
This Application Becomes Your Building Permit When Approved UM= Receipt No j,
J., By
Buildin¢Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 G
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
HEARTH&HOM.E
technologies'
January 28, 2015
RE: ESC-42ST- 3359 Willow Wood Tr NW, Prior Lake MN 55372
To Whom It May Concern:
Upon review, the combustible mantel which is positioned vertically 7 inches above the top
fireplace opening and extends 1-1/2" horizontally is approved for use by Hearth and Home
Technologies and is accordance with ANSI Z21.88-2014, Section 5.24.1.
Sincerely,
Chad Borseth
Design Engineer II
Hearth and Home Technologies