HomeMy WebLinkAboutMechanical Permit #12-0969 s ❑ o� c� a00000 � o a Z�
� � a o o p 3�z��o� ° z � � m�
0
o � o ��� 3 A r c 3z� Z � t ��
M r � m m y m y sz>z o �' o�
�, y , � � y Z �v ��� z�
� V n y N � Z Z V I ��
c � .� �+ �
~ o �a� z � z � m �
� o � Z �o —
m
� � � ° _ +°
-� ���
_ �
� m � o � �OOO�❑
tt� m m m m 3v�n�;v �
� � y o o �c ��c �.
� �e z p � ,_,��� m o c�'i
C � m .. Z � = pO�C Z i 3 Z m
�e, m a — r � � � v
b � o Z 2�� Z r
O = � � r � � � 'L 0
� A � ` ��
= m �
� � � N , -o
� y < ❑L7�O�O I
Z � � ���n � � � 1
� z >7���Z� — m
R ' v � r� � (J
< z �°
D m v
�5� �
n�, n smm�l
� m � '� � �
� y i - Z m
1 r �
�� pRl CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
� �
� �
I�'NESD�P L Pink File �ERMIT NO . ( / �
2. Green City / Z'D 96
3. Yellow Applicant �
Please or 'nt aud si at bottom
ADDRESS ZONING (ofiFce use)
� � �
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Na�ine) L� ���'z/l �f (Phone) l,�C � ��0� ���P�
(Address) �3 � ` � '�
APPLICANT
(Name) BURNSVItLE HEATING S� A�C, INC. (Phone)
3451 V�I. BumsviHe Part:�vay
(Address) �`k �f'y i iQ
Bumsvili��s5�5337 (City) (Zip Code)
(Contact Person) (Phone) ��Z— �� �F"������
APPLICANT SIGNATURE DATE � ZI / I Z
APPLICANT PLEASE COMPLETE BELOW
QNEW CONSTRUCTION PLACEMENT ❑ ALTERATIONS
FURNACE ME1KE AND MODEL� �(,`���I�}�j(_Q�'✓� — I FUEL �('�
FLUE SIZE RETURN OPENINGS '^ 1NPUT ���(�_ 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 Side Yard Setbacks.
� Mechanical ❑ Radiation Fireplaces with Box Additions or
Air Conditioning ❑ Special Devices
❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
� � � �
FEE 5CHEDULE
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
'� ' ' ' Cost $ Building Permit #
The Minnesota Statutes § 326B.148
" SURCHARGE " has been extended HEATING PERMIT FEE $ - l��
until June 30, 2013, STATE SURCHARGE $ .6bV
The minimum surcharge for a TOTAL PERMIT FEE $ �
"fixed fee" permit is $5.00
his Application Becomes Your Building Permit When Approved Paid �� � Receipt No.� !/� 2 7
d 7 �l
Date p� � `� By ;
BuildinQ Ofticial Date � ��
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372