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Building Permit 10.683
- 0 0 0 0 000000 7 0 > Kg O cn 2 --n -n-n 0 o S) m § © 0 0 \ § Z § \ g m m 2 2 0 D z Cn 111 r \ § Z $ §0- P �k k t *> d 7 0 Z z § 2 C co o q m 5 a gi q 7 Q o �� 2 q§ \ 0 / / § % XI = -n -0 m 2 0 0 x ) m § 000000 § ��t§E k & \ % o o � ' \§ § d2$ m g t 8 o m i o E»_= z x z x m % m§ q \ >000 o m- m ~% q 6 a : #. X277 p3 Z § CI z o k ' r \% p m / ^ ps , 71 Nit X ( 0 q 2 0 q 0 . .DD0DD w o - 73 \ 7. 7. 0 \ § k§3§ �- Q) m "0 "0 TI § �. / K 00E c % z a § - § E ' 0) _ z �/ r- ® rt'l PRip CITY OF PRIOR LAKE Date Rec'd ,.., 40 ' i . p HEATING /AIR CONDITIONING /FIREPLACE PERMIT $ up , G° MM w,a „ , h7 j NNFSO ° z: Crnkeen CI PERMIT NO. 60 3. Yellow Applicant /D / "� (Please type or print and sign at bottom) ADDRESS ZONING (office use) 4313 Orairiwocxl (irk k LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Nam ) CrOV (- /1n Z (Phone) 01 L1 2 (Address) 1 61 0rai 1 w1,�..� (rc 1e W Fh or L St5371 APPLICANT Mechanical Inc 952 - 445 -8585 (Name) (Phone) 12010 Old Brick Yard Road Shakopee MN 55379 (Address) (Address) (City) (Zip Code) (Contact Person) Linda 952-445-8585 (Phone) APPLICANT SIGNATURE ( DATE APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION �y L EPLACEME T El ALTERATIONS FURNACE MAKE AND MODEL 54 A ,(QD ' `n \ FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT 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. ❑ echanical ❑ Radiation Fireplaces with Box Additions or Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings ['Vent. System ❑ Other Devices 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 Construction) $149.50 Residential, Additions & Alterations ' • i 111' Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.5 Estimated Cost $ Building Permit # HEATING PERMIT FEE $ - l •) STATE SURCHARGE $ " 0750 TOTAL PERMIT FEE $ ' • A (Office Use Only) This Application Becomes Your Building Permit When Approved Paid 6 4..,t g ceipt Nc l � (U G o y Buildine Official Date Date 0 (0 • 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372