HomeMy WebLinkAboutMechanical Permit 13. 0378 ciz
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CITY OF PRIOR LAKE Date Recd
( - HEATING /AIR CONDITIONING /FIREPLACE PERMIT 5 /6" /i
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21 . Green Cite y PERMIT NO. __ /`', 3 7 �/
3. Yellow Applicant (� (,
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
16132 Tahinka PL NW
Prior Lake, MN 55372
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Tricia & Brett Allwine (Phone) 717 -578 -0177
(Address) Same as above
APPLICANT
(Name) Brett Allwine (Phone) 717 -578 -0177
(Address) 16132 Tahinka PL NW Prior Lake 55372
(Address) (City) (Zip Code)
(Contact Person) Brett Allwine (Phone) 717-578-0177
APPLICANT SIGNATURE 7,
Z� a--:- - DATE .? / Ili
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑ REPLACEMENT M ALTERATIONS
FURNACE MAKE AND MODEL Beacon Morris — 75 MBH FUEL Natural Gas
FLUE SIZE 4 inch diam. RETURN OPENINGS N/A INPUT 75,000 BTU/Hr. OUTPUT 61,500 BTU/Hr.
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.
g Mechanical ]--Radiation
Fireplaces with Box Additions or
['Air Conditioning D Special Devices Cantilevers to the Outside of Buildings
DVent. 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 549.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ 49.50 Building Permit #
HEATING PERMIT FEE $ 49.50
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $ 54.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved icy `c if Receipt No. r� 941 �
to (/ By
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Building Official Date 5111 SV.1.-v
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372