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HomeMy WebLinkAboutBuilding Permit 09. 0558 y `- o A _ � 7 "'LLCCr W. \ )r gga�, ' $ 2 �)77k� 2 %, G 0 % . O ■ w ) • 0 41 2 . E§ƒƒ$ . \ \ © 2 OoOOO�` ƒ \ § o _ © o A \ . % \ � � LU w d §§� 111 ^ \ � c 0 2 C • Z 2 § §� u ~ J R A o& R■ 0 dPI u c 0 0 w § . \ }j 7 f CO ( n q Q O. § 1 \ E S § \ uu« w � � w 0 z ce � ■ tea 00000 ® \ / , - ) § E / • 2 j W / . $ � § « v E % LU w z \ § - k \ o g - b§ Q. 2 k 2} z § d i� � I r f 3 2 � HJ 0R 2 � A w S - \ �g A $ 2 Z rk \ . & 7 k z 2 0 0 0 0 ( § R 0 u- u. � §L 0 o 0 e /^ u � « o a 000000 0 ) 4 2 (edt 1 4 PR* ( 4 A \ c CITY OF PRIOR LAKE Date Rec'd Z3 Pq HEATING /AIR CONDITIONING /FIREPLACE PERMIT 7 z f o, `?. E SC) I. Pink File PERMIT NO . 3. Yellow City ��� 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1511% d'P ais loW LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER l _ G (Name) d 1� k/rown (Phone) q ✓ p�.aio - I Lo (Address) [ 5 6 I U .,) e 4 Cf b ?ci 5_5 I V W APPLICANT (Name) GENZ -RYAN PLUMBING & HEATING (Phone) 952- 767 -1000 (Address) 2200 W. HWY 13 BURNSVILLE 55337 (Address) (City) -7 / 1 (Zip Code) (Contact Person) ,i ` ° * , A (Phone) 6 ) • 6L0 - L( APPLICANT SIGNATURE gip Li A _ , c l 1 ,_0 ir / /L.� DATE - 1 - A0 - 09 1 APPLICANT PLEASE - OMPLETE BELOW ['NEW CONSTRUCTION REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL 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 EGravit ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation Air Conditioning 111 Special Devices Fireplaces with Box Additions or ❑Vent. System El 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 Construction) $149.50 Residenti. : I ._ : iterations _ Residential, Heating Only (New Construction) $64.50 Reside tial, AC Only $49.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE $ 4-9, SD STATE SURCHARGE $ .50 TOTAL PERMIT FEE S_ .v 5 - 0.00 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Dat r c. V f Building Official Date [. z9. � / 24 hour notice for all inspections (952) 447 -9850, fax (952) 447- 245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372