HomeMy WebLinkAboutMechanical Permit #12-1274 3 O ❑� n ❑ODO�O � O � =c�
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� o � pRro� CITY OF PRIOR LAKE Date Rec'd
' �, HEATING/AIR CONDITIONING/FIREPLACE PERMIT �
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: �l,� ,. � F;k PERMIT NO _ a -,�
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3. Ydlow Applicad
� ease e or ' t and si at boftom
ADDRESS ZONING (oe6ce use)
, ' � � �l S :
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LEL�AL DESCRIPTION (oNf'ia use only)
LO'I' BLOCK ADDITION PID �
�� �W�L �� ��Y�h� .
(Phone) �'� -� 3 " � 3`� �J
ca�} S�. nn�, . 5� 3�a- �
ruine t;orp. �-- '
APpLICANT DBA: Practical Systems
�� 4342B Shady Oak Road ,
�q�� Hopkins, MN 55343
��� 952-933-1868 x a..�ss'j (zip coae)
(Contact Person) � 1 � �
.- -----�
APPLICANT SIGNATURE DATE �� �,.�21�-.
APPLIC T PLEASE COMPLETE BELOW ,
QNEW CONSTRUCTION ❑ REPLACEMENT ALTERATIONS :
FURNACE MAKE AND MODEL FUEL
FLUE SIZB RETURN OPENINGS INPUT OUTPUT �
TYPE OF SYSTEM HEATTNG OR POWER PLANT .
PLEASE NOTE: Air Conditioner
�W�' p���s � S�� Units and P9replaces Cannot Encroxch
�Gravity ❑ Hot Water �� g,� Side Yard Sctbacks.
❑ Mechanical ❑ Radiation �yreplacea with Boz Additions or
�Air Conditioning ❑ Spec+nl beviccs
�Vent. System ❑ Other D�vices Cantilevers to the Ontside of Buildings
Reguire a Building Permit.
FIREPI,ACE MAKE AND MUDEL
FEE SCHEDULE
Industria�, Comm�ercial & Muld-Family l% of job cost Residential, Ges Fireplace •$49.50 '
$A9.SQ minimum
Residentiai, Hesting & A!C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construcdan) 564.50 Residential, AC Only $49.50 .
Esa��a co�c $ �2 �� Building Permit # �
The Minnesota Stniutes � 32G[3.148
HEATING PERMIT FEE $ "S�RCI-lARGF.;" has been chtu►grcl I'or one
year effoctive
STATE SURCHARGE $ .5 �aly t, tutu, u��til.Junc 3U, tut �.
TOTAL PERMIT FEE $ Thr miaimam surcdar�e for a"fixal fcc" permit
(Offlce Use Only) is x 4',� bc�lanin� Juty 1. 20I0
This plfcatloa Becomes Yoar Building Permit When Approved Paid L � � Receipt N ..�J
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�U "��' Date w �y �.,
Baildine Official Date ! C/ � � � ,
24 hour notice for all inspestions (952) 447-9850, fax (952) 447-4245 .
4646 Dakota Street S.E., Prior Lake, Minnesota 553T1