HomeMy WebLinkAboutMechanical Permit #12-1445 3 O�❑ C� ❑O❑�O� � O D ZA
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o � p RIp� CITY OF PRIOR LAKE Date Rec'd
� � HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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�I�'NESO�P �. Pink File PERMIT NO J
. 2. Green City '/Z—/ ���
3. Yellow Applicant
ease e or ' t and si at bottom
3 , D��S � � ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Na ) �`�` � � � (Phone) �"'l:� ✓ i L 1
(Address) �J� `����� � �l� �W�'�`�'l� °� L
APPLICANT
(Name) Rons Mechanical Inc (Phone) 952-445-8585
(Address) � 201 0 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 I� - lP' {�'
APPLICA T PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS �
FURNACE MAKE AND MODEL rU(�,YVE 3 I V�Ar�I O� � FUEL
FLUE SIZE RETURN OPENINGS INPUT ���� OUTPUT ��� `Nv
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 & A/C (New Conshuction) $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 SURCHARGE $ S. ' .50
TOTAL PERMIT FEE $ ����
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 3 —� j J j-� Receipt No. 77 7 /
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Date �Li� / lly By �
Buildine Ofticial Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372