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HomeMy WebLinkAboutMechanical Permit #13-090 � o❑� c� ❑aaao❑ � o a Z� c� � o o� � v��N�,�� p � � m� c� S3 �� �c� m m 0 t G ��' m m y Ri y r 5zyz p� y p� � � A y � n Z��� � N z p � � Z p z � A m m � o � z.A �1 r p � f 1 pf � � A A W 00000❑ .,� m m m m ;�v�ng�� � � y v o m��am AC AC � c � � n � m � _ b n n O ��00 � � � � � ° � � W � �CC C z� m �'° � o 0 � � o .. = m I O O I � t�ii � O �O❑ � � Z z ��7�00� � � t�. o G� �� � c� � -- � < ��� � � _' ;�� •n � � m ����� � � -y � � 04 rRlo CITY OF PRIOR LAKE Date Rec'd � � HEATING/AIR CONDITIONING/FIREPLACE PERMIT � � � � ,� ,�� ,. P„� File PERMIT NO. J�'� 9� NNESO 2. Green City � 3. Yetlow Applicant lease e or ' t and si at bottom ADDRESS ZONING (o��,�) � � ` ` ( LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID O�VNER (Phone) (Name) (Address) f , i � � " — APPLICANT —C� � (Name) � ( � ' ne), (Address) � � � ��� Ad ) (City) (Zi Code) � Contact Person) � u- I'� '���� (Phone) APPLICANT SIGNATURE DATE � a"� AP CANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑ REPLACEMENT TERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT pLEASE NOTE: Air Conditioner � OWarm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach _�Gr�vity ❑ Hot Water into Required Side Yard Setbacks. ��echanical ❑ Radiation Fireplaces with Bog Additions or �Air Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings ❑Vent. System ❑ Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL f FEE SCHED � � � Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas F' � $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 The Minnesota Statutes § 326B.148 ^ost $ Building Permit # "SURCEIARGE" has been extended � until June 30, 2013, HEATING PERMIT FEE $ � The minimum surcharge for a STATE SURCHARGE $ .50 "fixet� fee" permit is �S.C)t) TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid�l` t Receipt No. Q 7� 7�=�v � Date i /�� By Buildine Ofticial . Date � 24 hour notice for all inspections (952) 447-9850, faa (952) 447-0245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372