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Home My WebLink AboutBuilding Permit 09.0818 J 0 W Z� w • � 1 o?c a w [aa[CC Z (� � WW N. ' _ Z a 1 . - r . �J- w z Z o > r M ` ^ 1 ❑❑D❑ ❑n 0 m - w p_ rt 0 O a a Q m o 0 0 I- 2 0 0 LL J 0 0 U 0 P °� a w o 0 0 Z a _ Z 000‹ Z 0 �3 N 0 •3 o w mW�WmLL w O z 0 0 U a D o w Dv o o z x o •i a23cna2 w w W z r a y ❑ ❑ ❑ ❑❑D re Ce 0 = III a a a r o J C 0 a a o t w o W w I` Z 0 Z - c, g0 r _ 0 2 }- o a p Z r N a 3 n 01 a 0 z w H \� a r r / a N w � Z c�api =- LL w w � A O. Z �ZgJZ a a v LL U w w p� 12 0 0 0 v can. 0 r4 la Z p OO � z iiu) 0 U 0 a 6 ? a 0 o 0 000❑❑ 0 ❑ ❑ ❑ E R CITY OF PRIOR LAKE / qr7V _ c4 Date Rec'd r ro / ° 1.. ' � � �� HEATING /AIR CONDITIONING /FIREPLACE PE RMIT PO � �� f-+ �, P�. y'' 2 . Pink File PERMIT NO. 0 q o el � ...... 4,INNESO,, 2. Green City PERMIT 1\ 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1 Wd 4 k'ar CIO 57/ - Sk LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ((Name) JT />f il'' f k4 (Phone) 9.- 5) -9'O b2C/e) (Address) V 90 C (P j ®` a l, do 67L S APPLICANT (Name) / � & /ilea -7 YC /7 C /4�C �! `jZ`(___ (Phone) 7�d - 9 7/ /° 7 (� ,0i01/ - drag - (Address) 1 i " Gk . ^ ` . 1 Y 1 i/7Li ____ j , -/ Jr/17-7. (Address) / (City) (Zip Code) (Contact Person) e- S' Cr k'-'i / (Pho e) 9._?-- / / /d 9 y APPLICANT SIGNATURE al _ __.._ DATE APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL C, 6.4. y j G 1,/ - FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Warm Air Plants El Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. i! Mechanical ❑ Radiation Fireplaces with Box Additions or �! • it Conditioning 11 Special Devices Cantilevers to the Outside of Buildings ['Vent. System ❑ Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL - ,�-/ � j.2/ X? TUB 5YS�2 , 02-0-C;ri a , f /e O c»a'7 /7 � L; 1411-41. 4 / /1 FEE SCHEDULE 6.02p 4/ 6 6d S. /SIC /1'7 - 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 $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ / i�'jcio Building Permit # HEATING PERMIT FEE $ 1 7 _ w STATE SURCHARGE $ 7 2 TOTAL PERMIT FEE $ S _ 3 (Office Use 1 nly) This /. � B ecomes our Building Permit he Approved Paid /03,7b— J Receipt No. t, G 0 i / i' ID i3 / I © Date 0 ? By /� / Bui , inn Official �� Date i / 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 / 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 1 , PRIO U m White - Building nary - Engineering �'NNESO` Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT G i o c OL460 APPLICATION RECEIVED L G CAi'rt/ /rtf f/4/e_ rNL The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections t.,- Denied II / Reviewed By: 1 � �l _ - Date: Cry ( O Comments: P4 /At r UAi r� T© /'! 4 �O -rcc 4/ /z_D tN-t., 5 C .0 6=--1 ®- 7T- ben "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid."