HomeMy WebLinkAboutMechanical Permit #12-1241 � ❑ ❑� c� ❑a❑ao❑ � o a Z�
n � � °° 0 3�zai�co Z ^�' m no
b a o ��� 3 ��3z� Z � y „
-�
� r � � � -�i � 5 �' D � � y =�
e� � N� Z Z C °�
� +� � o c z ��
o Z „� � m tn
� O � z �
-� r � {
_ '� � �o �
� m � O O ` 0�00�0
'� x m m m m�
� � y v v ���-
� �c Z p � , m o �
c � ��'o � y� 3 - m
b n n p C, rT�� 70 � � C
-i o z z z r
�° O � m r �'" ��° O \ v
Z �/�i
F� A � � p f_ �
_ ^� N /
� c o � Q
y m ❑C]OOO❑ n�
y Z � ��r�n��n � � i
�' v � ����� � m
�
n�, Z >mm=�
� m z„�-�— .�
� �z— � m
r
4 PRIp CITY OF PRIOR LAKE Date Rec'd
� � � HEATING/AIR CONDITIONING/FIREPLACE PERMIT
� x
� �
�I�'NESD�P 1. Pink File
2. Green City PERMIT NO . /� ��7 �/
� 3. Yellow Applicant s �+ �
lease or ' t and si at bottom
� � � �4 E..1��J+ Y 1 lJI � ���" L'� �� ��� /r 1��� ZONING (officeuse)
� v�
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER /�
(Name) � � �"'� � �� (Phone) �+ �� C �� ���
(Address) � �.� -� �1 � , ' N'N f'/ � �1� 1� � l'Y � ���� lJr'6 �l, ��
APPLICANT
(Name) Rons mechanical Inc (Phone) 952-445-8585
(Address) 12010 Old Brick Yard Road Shakopee MN 55379
(Address) (City) (Zip Code)
(Contact Person) L i nda (Phone) 9 5 2 4 4 5 8 5 8 5
APPLICANT SIGNATURE DATE � �� IZ
APPLICANT PLE SE COMPLETE BELOW
ONEW CONS RUCTION REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL r I,PiV C 1T ��� FUEL N N
FLUE SIZE RETURN OPENINGS INPUT �(� i OUTPUT S�p �
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
❑Air Conditioning ❑ Special Devices Fireplaces with Boz Additions or
�Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & AiC (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATE 5URCHARGE $ .50
TOTAL PERMIT FEE $ .5
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid � � Rec ' t No. ��� ,�'/
`� /
Date`� f9 . �
Buildine Official Date
24 hour notice for all inspections (952) 447-9850, faz (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372