HomeMy WebLinkAboutMechanical Permit #12-0936 � ❑ O�, C� ❑OOOO❑ � O > yc�
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� p R10 CITY OF PRIOR LAKE Date Rec'd
� �� HEATING/AIR CONDITIONING/FIREPLACE PERMIT
� �
� `. P "� F11 pERMIT NO.
2. Green City �j
� 3. Yellow Applicant G�"'�
or 'nt and si at bottom
ADDRESS ZONING (otTice nse)
73( L �
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID Z� ��'�ID , O � � � v
OWNER —�— � � r-I
� � �/"17Jf��9'�6�� (Phone) �j/l ' y� 7 — ���
(Address)
APP LICAN ' � � � U" Y� hon �,�� r / /� ^ ��J �
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re , Af �t�i ���
(Address) (City) (Zip Code)
act Perso �G/�i../� �i'��� (Phone) �,�� ��� "� ���
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P ANT SIGNAT DATE �
APPLICANT PLEA E COMPLETE BELOW
❑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 ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water into Required 5ide Yard Setbacks.
❑ Mechanical ❑ Radiation
❑Air Conditioning ❑ Special Devices Fireplaces with Bog Additions or
OVent. System ❑ Other Devices Cantilevers to the Outside of Buildings
� Require a Building Permit.
�IlfwA l`�U �
��v ��� ���� '1 ` v �T� FEE SCAEDULE
Industriai, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Conshuction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
The Minnesota Statutes § 326B.148 ;ost $ Building Permit #
"SURCHARGE" has been extended
until june 30, 2013, HEATING PERMIT FEE $
The minimum surcharge for a ,
"fixed fee permit is $5.00 �TATE SURCHARGE $ .5 �-
fOTAL PERMIT FEE �'� ��
�otnce us oo�y� .
Th' p' at' ecomes Yo� Building Per Wh Approved Pai Recei o. �� 71
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m� ate Da i �� ��/ B .
24 hour notice for all inspections (952) 447-9850, fax (452) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372