HomeMy WebLinkAboutMechanical Permit 13. 0516 p �H
Z z ui
P -1 aLLcc t- w W U w
Z u4
"' UU
= a
p
A a- ggZ o
aaa� a 0 ce re < c��w z z
m 1 W Uu ti U' tu
° ∎ 000000 w O
cc v
N O
" m 0 p 44
d a -, z 0
J
z YY "'^� 0 0 U
m q F_- 2 0 0 Er: 0 a� 0 j c
_ 2 a z -22Z? --=—_.) 0 O Z O�
y p U G. m 2w 2 :E2
0 o Z X O
J W Q J W W w El W R
a 2 3 v)a2 0 U Z re 0000❑❑ i,/' 0 0 I
}o r z
Z a p w - r4 co O p- Z U o
u.
W W z o 0
U p LL U 0 o>
z 0 a 3 c�
_ 0 I.- 4 a
z p p 0 F a 0 0 J
O Np n Z Y -� A
a- p z ooz< z w a a a ° a 0
r- z �z�g -'_ p 0 V
0 w w w w 0 ma w 0 0 0 a
a o 0 p p ❑❑
r z a 0 a 0 000❑❑ 0
.J
i z z
P J re LL
y ° sggZ z w
�ww� Q
p I w0u_u_ / E2 Z E..
a'
ki
7r 0
w x
0 r J W N O
O. a. Q r, m Z
2 u. -1 z ° 0 4
w A 1- 2 O OO(9< 0 w
x l Z a z -xxzz \ c) a
u O U a g a 8 Z
J w< J w o \i , 0 O Z E- O
a � v�a � Y w w W w
, , 0❑❑❑❑❑ 1 U U Z
a a Li- =
I
r } Z a o w
ww 4 O Q U LL
O= p a F- ra. N a 3 N. WI
�
O w � W z ° � z g -� ? Y o Q a
w Z 6.607z1.- 0 0 re re 0 - U U
a) O O u. u. u. ? u'. in 0 S 0 O i a
6 z a 0 a 0 000❑❑ 0 0 ❑ 2
PRI CITY OF PRIOR LAKE Date Rec'd
o � HEATING /AIR CONDITIONING /FIREPLACE PERMIT
H '.
x
ri
0 4 N,,,TSoc 1. Pink File 7�
2. Green City PERMIT NO. /3 _ / ��
�
3. Yellow Applicant ..GG��
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
5 S9 t-cY di rc Le S
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER Li,da_ (Phone) )52 1 /4 /rG) 9
(Name) C (� tie Y e s (Phon
(Address) 53 7 S II e1Y 5 - 6 --- 1 o pm/ 5537.1_
APPLICANT (Name) _ i'1 �l V 1 t " ■ • ne) q•Cd W9 '9o1 W
(Address) De or Oro D I V CT) _ . 1 M Ai 5:5:3s
(Address) (City /�, (Zip Code)
Contact Person) � (Phone) (1 S� _geld 6)3-7
( A a
APPLICANT SIGNATURE ILO ° DATE f 3
APPL CANT PLEASE COMPLETE BELOW
ENEW CONSTRUCTION ❑ REPLACEMENT g-AZIERATIONS
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
Ae vity ❑ Hot Water into Required Side Yard Setbacks.
chanical ❑ Radiation Fireplaces with Box Additions or
❑A1 Conditioning 0 Special c s Cantilevers to the Outside of Buildings
DVent. System ❑ Other Devievice.
`/ / Require a Building Permit.
FIREPLACE MAKE AND MODEL L • i ii clee g- 1
EE SCHED 5 -- -----
Industrial, Commercial & Multi- Family 1% of job cost R esidential, as Firepla e C $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 host $ Building Permit #
"SURCHARGE" has been extended
i j nl , >O), 0 ., , :EATING PERMIT FEE $ t •
The minimum surcharge for a STATE SURCHARGE $ 1
"fixed fee" permit is 5)::.,::') COTAL PERMIT FEE $ 5 V 1 c6
This Application Becomes Your Building Permit When Approved Paid -/1 ? Receipt No. j _ 5 , 101
Date -5 430 0 By 1 ... g .,_ ± . j
Building Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372