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HomeMy WebLinkAboutMechanical Permit 13. 0080 E O O 0 OOOQOO - 0 o» 20 ■ _ § 2 0 3-C) 2 g z v �0_2 o 7 m 0 Q g c c § m m n o 0 a o A' A' 73 r ■zw ■■ 0 m 73 x k § ® m it § � ■ §z 0 ■ §II t -4 O -I m a0 0 �k IQ " K 6 a o, 0 z 9 � z 73 �� t \ . . ® 0 m m al, / 21 r i 0 - / 73 ; x \ \ � . ' . 00E3000 X � M m /. rnr -■■■ r CS z C2 t2 i nc ''.*%* tn b . § ■ § M § m © '' $ 2 II E \ � / B § § 1 ` k i•-) g 0 o 0 r 22 § @ o 2 § r-13 0 \ 2 ` | i j iwi F I Z In C/ (;, >\ R10.4 CITY OF PRIOR LAKE Date Reed HEATING /AIR CONDITIONING /FIREPLACE PERMIT ` ! N x n , 2. Gree Pd :e n FCig` 1 5_ d PERMIT NO. ' d 3 Yellow Applicant (Please type or print and sign at bottom) F ADDRESS ZONING (office use) I 2717a TI M ot t c2 c,ic C 1 2 Ni AJ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) J } UL pl UNS 0 r4 (Phone) qs - Fa q - 3 -6 (Address) 317 0� 71 it-4 E>61 a ii a L C t i2 r\{ VU - 4' 2 t 6 2 - L_ K) K� , M IV APPLICANT (Name) Larson Plumbing Inc. (Phone) 763427 -7680 (Address) 3095 162nd Lane NW Andover, MN 55304 (Address) (City) (Zip Code) (Contact Person) Wendy Nelson p (Phone) 763- 450 -6520 APPLICANT SIGNATURE a n ., ,) --1' I1✓ DATE I 3 /3 APPLICANT PLEASE COMPLETE BELOW 0 !-e ❑NEW CONSTRUCTION � f CTION ❑ REPLACEMENT yALTERATIONS FURNACE MAKE AND MODEL Al A pine_ ow /� FUEL nGb t° 3 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 El Mechanical into Required Side Yard Setbacks. ❑ Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑ Special Devices [Went. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi - Family I% of job cost Residential, Gas Fireplace $49.50 S49.50 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 $ S Building Permit # The Minncsota Statutes C 32613. 148 �i 5- "SI iRCIIARGL" has been changed for one HEATING PERMIT FEE $ year effective STATE SURCHARGE $ �'vv .i6 lu j, 2010, until ,Ions .30.2tsl L TOTAL PERMIT FEE $ . The minimum surcharge fora "fixed fee" permit (Office Use Only) is S5, beginning July 1.2010 This Application Becomes Your Building Permit When Approved Paid s , / 7) Receipt No.i (/ �— 7 Building Official Date f Date / /�, i / ` By e 24 hour notice for all inspections (952) 447 -9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372