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HomeMy WebLinkAboutAir Conditioning Permit 10. 0684 E OO n 000000 . o A §n 11 o o 0 ■ -n■�11'i 0 & 6 � q c g o 73 7 ) x 1 Af m m m M 0 k m o o t m � 0 @ § � 1. 1'2. k g k Mr P. � -4 m u 7 co § k ^ 1� . R / § C) ��© )� - mrn a q r 0 3 % m a 73 z Z ■ 0Q 4111 ® OOOQ ❑Q m E2 m m % s 13 ■ � \ c m - �■. x m m ■ z m -0 o c cy % \ i \ >0 0 C m § 0 / 0 r 2 2 2 ■ o C 2 § . m �� r- D b / X tq § m L ■ � 1 . X00000 2 R. / 7 g2ig §2 t ...) § Z; ® ����® , ` L 0 O GI • 0 . � � � -4 § 0 i § Q.: Hho_ (02-1 er oa-- rRio CITY OF PRIOR LAKE Date Rec'd � e HEATING /AIR CONDITIONING/FIREPLACE PERMIT 0 . / ( , /e N v hi 4, INNESO 1. Pink File PERMIT NO. 2. Green city // �. /i, 04.... ' 3. Yellow Applicant J �f �tf(// (Please type or print and sign at bottom) ADDRESS ZONING (office use) 3339 GI Tirtt:d iJ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) N r Cu (Phone) -1 -1L - 11 - 59 00 (Address) 3' e)1 vj k 1 D K�► W APPLICANT 6 , (�1 C 1 ,� \ n (Name) i (Phone) - l )t r i lo1- 1 (O D (Address) 0 RAT 1)) 1N ` 11, ( .733 1 (Address) (City) I (Zip Code) (Contact Person) R (Phone) a ,1 101.1.00 APPLICANT SIGNATURE ani i t_ fled. ! ' . A AI 1 DATE jii J l V APPL - ANT PLEASE COMPLETE BELOW [NEW CONSTRUCTION / EPLACEMENT ❑ 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 ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation Air Conditioning ❑ Special Devices Fireplaces with Box Additions or ❑ Vent. System ❑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 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 The Minnesota Statutes § 326B.148 Thst $ Building Permit # "SURCHARGE" has been changed for one year effective HEATING PERMIT FEE $ r- te, so July 1, 2010, until June 30, 2011. STATE SURCHARGE $ S.00 The minimum surcharge for a "fixed fee" permit •TOTAL PERMIT FEE $ j4 0 is $5, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid T Rec No. ( _' / Date I �, 10 By v Building 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