HomeMy WebLinkAboutMechanical Permit #13-061 n oaoaa❑ _ � o N�
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; a � rRro� �CITY pF PRIOR LAKE
f. �. AEATINGIALR CONDITIONIlVG/FIREpLACE PERMIT Date Rec'd
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� �. r�pk F�° pERMIT NU. j� f�
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; least e or ' t and si dC Lf►fYQttt 3. Ydlow ����,m f IJ
; ADDRE$S
' ��� J �I I � . C1 '� ZONIN'G (oflioe use}
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LEG.AL DESCRIPTIQN (ot#"ice use onlyj � �
LOT BLOCK ADDTTION
PID
UWI�TER
(Name) a 1.t� � �' '
� (Phone) �r���� � � �3 �
(Address) � � . �
�•:�;: •
A.PPLICANT
�`�e� :`' �:V HEf�►TIIVG & AiR INC. Cp�ane)
(Address) 5182 W�-��T BROAD
.. ,
tA `�"�� 763-535-2000 c��ty>
cz� coa��
{Contaci Person) .
(Phone)
A.FPLICANT SIGNATURE ' DATE
APPLICANT PL ASE COMPLETE BELOW �
C�1V�W CONSTRUCTION PLACEMENT ❑ ALTERATIONS
FURNACE MAKB AND MODEL. � Q�` � Nf) (,�. O X '
FUBL
FLUB SIZ$ RETURrT OPENINGS INPUT �
�JT UT
TY�'E OF SYSTEM � HEATIl�TG OR POWER.PLqNT
�Varm Air piants , PLEASE NOTE: Air Conditioner '
(]Crravi ❑ Steam
ty ❑ Hot Water Units �nd Fireplaces Cannot Encroach
Mechanical ❑ Radiation � �nto Required Side Yard Setbacka.
ir Conditioning ❑ Special Dtvices -' FiTeplaces w3th Boi Addltions or
Vent. System ❑ pther Devices Cantilevers to the Qatside of Buildings
FIREPLACE MAKE AND MODEL Require a Building Permit.
Industrial, Commerciai & Multi-Pamil o F�' E SCIIEDTTLE
Y I/o of job cast Residentiat, Ges Fireplewe �$49.50 �
Residgntial, Heatin 8c q/C �a9.50 minimum ' �
8 (IVew ConsUuction) $149.50 Residential, Additions 8c Aherations / �49 : 0�r �1a �`�—
Residential, Heating Only (New Construction) 564.50
Residential, AC Only �
EsUmated Cost $ � � ' � I �
Building Permit #� 5(�
The Minnesotn Statutes � 32Gt3.1�8
. HEATING PERM.IT FEE $ "St aRCI-IARGF" h�s been chunged lor ane
STATE SURCHARG$ $� yenr �ffcetivc
TOTAL PE ��,�,� t, zt��u unti! .l��nc 31i zu� �.
(Ofltce L►se Only) ��' FEE $ 7'hr minim�un surchergc for a"fisai fcr" permit
1s,f'�c, beginning.luly l.2010
This Application Becumes Your Buildiag Permit When Apgroved Paid � i/� '
�* Receipt Na j p�� -� j y
(O 0 <.ri
Bui►aipaom��, ne � Date ��� 7��3 �
24 hour notice for alt idspectlons (9S2) 447_9g50, fsx (952) 447-4245 �
4645 Dakota Street S.E., Prior Lafce, Minneaota 5837t
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