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HomeMy WebLinkAboutFireplace Permit 11. 0792 0 w z <k � � � ui ` � §Nv� \ �� • U b o w z k ! " X 0 0 0 • A �� . Z re z \ O� 0000Ott - w ® / ' CC :� S J cc _ ` . » 0 04 \ k 6 - - k k t. re o o u . 0 @ o z x b § z- 22 § ° 2 v a x fw l m x • " t 1 11 2 / z @ R I- 0 a 2 § e U QOOOQO le ��§ % 4 a a I Ill ■ �� 0 < 0 :1 Ce 0 § @ a - § ■ 2 § z ° » U § p. p © z , 2 z k a g ■ z zo z W 2§ L % � 2 R Z � �� s © « o /- § § § �w� 0 106 o k Q o■ 2 o I CQOQOO U 0 O / s I 4 ?Ri CITY OF PRIOR LAKE Date Rec'd , ° 7' HEATING /AIR CONDITIONING/FIREPLACE PERMIT 1 r 00 4 11H S O•St` 1. Pink Pik PERMIT NO . 3 Yellow City / i - '7d Z 3. ello Applicant / II (Please type or print and sign at bottom) ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER . A J e) 1 V � DaJi eLS / / 1 (Phone) e/> - 3d - M6 C� � z (Address) ( AA J "7 D- APPLICANT (Name) Kline Corp. (Phone) DBA: Practical Systems (Address) 4342B Shady Oak Road Hopkins, MN 55343 (City) (Zip code) (Contact Person) 952- 933 -1868 Ub li (Phone) APPLICANT SIGNATURE (-1 /42A-ti.'D , DATE 1? - i/ APPLICANT PLEASE COMPLETE BELOW :NEW CONSTRUCTION ,® REPLACEMENT ❑ ALTERATIONS • FURNACE MAKE AND MODEL ea rrje.r 5/5 Vii 07 0 -1-1 a- FUEL ddif-. FLUE SIZE RETURN OPENINGS INPUT 70, MO OUTPUT 5461si.) TYPE OF SYSTEM HEATING OR POWER PLANT Warm Air Plants PLEASE NOTE: Air Conditioner ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation efgAir Conditioning ❑ Special Devices Fireplaces with Box Additions or :Went. System 0 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) $14930 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ )19 5 Building Permit # The Minnesota Statutes *32611.148 HEATING PERMIT FEE $ , e} I 50 "SURCHARGE "' has been changed for one year effective STATE SURCHARGE $ .5,0 July 1, 2010. until June 30, 2011. TOTAL PERMIT FEE $ 5 -OThc minimum surcharge for a "tiled fee" permit (Office Use Only) is 55, beginning July 1.2010 This • , ∎ t ' ion Becom • . , Building Perm' n Approved Paid Receipt No. 3 A 6 1 3 t Date a K By � � B r . lug Official Da e it 13 I I 1 PP '7V , 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372