The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #12-1302 y o❑� c� oaoaoo = o o Nh n � � o O o 3 ��y�,�,� p � � m � p D o �� 3 m�c3ZS Z � y �� t� � m y rti y sz�� p y pv ta � � '� � � m o�� z� �o ;+ n�n N n Z = — Z � � m � � y p � �� 0 7� O C� Z — n� z mm l� O r Z 7 � '� r � { � � Z � n A ❑OOD�� '� m m m m ; r�-�'� ; � o� � y v v �c��c � ° � � � �c � ° � s � � v � o � � r �gg � z � �° z � m r � � o � � � - = m � O — � y < D �d.�� ❑ � � a�• > c � fn n�i !� 1 � v � z m AA�� m �� -�'i � cZi � 4�'�o,,� �� CITY OF PRIOR LAKE Date Rec�d N ING/AIR CONbITION�N�fF�RE�LAC� PER�ZIT � v .�,� . �� ' � 1.. Pink ' � Ffk . ' . Z. �, �ry ��c rro. /-� - %3 4z- lease or and s at battom . � 3. veuow n,pPV�.,u , ADD�tESS � � � ZOATII�TG �o�«,�� I � 1 �� r \ � � ; LEGAL DESC�TION (office use on�y) . � LOT . �.� BLOCK .ADDITION . . � PID c� R ��.�z A c�E�l ��'C�Y�,In, � , � � �. . � . � , . -. , �' (PhonvT� lJr.� � ILO �� . . � � � . (Adc�ress) \'�► � � --�,�„_, .... APPLI�ANT � ' , . ... . . _ . . . (Name) ` {Phone) � :�_ ' �.- �' �� (Addsess) � ' (A ) ' Ci ) (Zip Code) ' ' �. (Conta.ct P�rson) � (P�one) . APPLICANT SIGI�TATCJRE, � � - DA'1'E � . � �� . �9 � Z P�ICANT PLEASL C011�LETE B�LUW ' �NEW CONSTRUCTION 1ZEPLACEM$NT � [] ALTERATIONS _ � .. �. FURNAEE MAKB A1�1D MODBT. � . � FUEL '• FL,iIE ST� � ' RET[31tN OP�NINC�S, _ � 1NP'�J'�' OUTPtJ'T TYl'E OF SYSTEiVi . HEATING O�R PO�ER �LANT . � S� � PLE�SE NOTE: Air Conditfo�er : � �Warm Air Plants � Uai�s and Fi�epla�es Caut►ot Encroach � � �ty H°t water into Required Sic�e Xard Setb�cks. chanicai � Itadiation ` . . . Fireplace� �vith Box Additio�s or ❑Air Coaditionixig . ❑ Special Devices Canti�evers to t�ie� Outsfde of Buildings CJv�nt. sy�m I� o��r n�i�� Require a Building Permit. FIREPLACE MAKE AND lvlODBL • � � �'� . ' S , FEE $�CHED Industrial, Commercial & Multi-Family 1% ofjob.cost ential, Gas F ce $49.50 549.50 mii�iinum � Residential, Heatin� 8c AiC'(New Constniction) $149.�0 ' esidential, Additions� & Alterations •$49.50 Residential, Heating Only.(New�Construction) $64.50 . esidential, AC Oniy . $49.50 ,, • • � � ��'`= Estimated Cost $ Bu ding Per�it # . .. �� _ � The Mirrr,sota Statutes § 326B,14$ � HEA�'Il�TG PE�MIT FEE $ � � "SURCHARGE" bas been changed for one . . STATE SURCHARCT� $ ycar efPectivo . JaE� 1, 2414, ss��ii ,�une 3Q3.'w43 a�. . TO�AL PERNIIT �'EE . $,,,,`�= . The mtnlmum surcharge for a.."fixed fee" permit (Offlce Use Unly) • . • � ts �, beginning July 1, 2010 This Application Becomes Your Buflding Permit VVhen Approved � Paid �—�, /� ; Receipt No. /�, I� y � �� t• 10 7' � �ate; � �IZ9�Z- By ' Bnlidins ofllHciat -- Date � � 24 hour noitce for all inspections (9�2) 447-9850; fag (952) 447-4245