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HomeMy WebLinkAboutMechanical Permit 11. 1304 . rjuo CITY OF PRIOR LAKE Date Rec'd n ` -- -u HEATING /AIR CONDITIONING/FIREPLACE PERMIT I _ \ , f.-41 '''-i'l IA lc ; u-, i .,..,„,,,,..._ °�lNiv$so�" I. G T . Fa. ' PERMIT NO. (I . 3 °A (Please type or print and sign at bottom) 3. Yellow nPPr,caur ADDRESS ZONING (office nse) qsq0 TOLAid ST S t'r LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Na 'V t` � CA Lc..�'Q, a J l ce- e SC. \ t. 1 C. (Phone) (Address) J APPLICANT \ (Phone) • ( Name) .. .4. 11 ' • A GG., �1�. ) ` D - b b� (Address) • 6 ti �� ( \ — u _ , _ OL \ (Address) (City) (Zip Code) (Contact Person) � (_, Y� (Phone) 110 3S - rX ��c A i ` , APPLICANT SIGNATURE WA.A. _ DATE ( l — i S --- I l / APPLICANT PLE ■ E COMPLETE BELOW [NEW CONSTRUCTION 0 REPLACEMENT XALTBRATIONS FURNACE MAKE AND MODEL t\S `. a - \C.ke clt Pk.`7 FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT 0Warm Air Plants Steam PLEASE NOTE: Mr Conditioner Units and Fire laces Cannot Encroach DGravity ❑ Hot Water p ❑ Mechanical into Required Side Yard Setbacks. ❑ Radiation ❑Air Conditioning ❑ Special Devices Fireplaces with Box Additions or DVent. System ❑ Other Devices Cantilevers to the Outside of Buildings ` �� ,�v� Require a Building Permit. FIREPLACE MAKE AND MODEL '-'S C:C K 1 ' 1 t '1 FEE SCHEDULE Industrial, Commercial & Multi- Family I% of job cost Residential, Gas Fireplace . $49.50 $4950 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 44 i t Estimated Cost $ \ j 00 Building Permit # The Minnesota Statutes §32613.148 HEATING PERMIT FEE $ -yG 5C "SURCHARGE" has been changed for one year effective STATE SURCHARGE $ S — July 1. 2010, until June 30.2011. TOTAL PERMIT FEE $ 5 „ s v The minimum surcharge fora "t;sed fee" permit (Office use Only) /� `f is beginning July 1.2010 This :. on Becomes Your Building Permit n Approved Paid /� Receip o. �� +7 6 ! Date 7 B y Hni1d1n '' ',-1 1 1 s i -i- 1 1 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 1 = - .. C - O c � .= ��O N . In a = -. O . d co C 1 3 N '0 CD n A O � �� D 0 0 C(' Z� 0 a rri 7. 161 H . .......... ............................... i _ -r1 g ©: rn H z 0 a m p r rn ,: r: ° 0 3 H 0 . a A. -ry n, 4 ti j - n N m o - �"�. 1 V p 0. 4, :: ��j li CD . O �,3 �� C SC c nO M k\ x ' 1 � © ro lk ---I x Z z 5 O Cl3 C` ' - -� pn NDp x r - 0 00 OiUw p CO E ❑ ❑D Z Z13 0D ' U ' 3 - D D { � rnrn���rn Ch o ' � O rn N z-i 00 zzN c T �- -+ o 2.�' > p � zcm -t rn r r z A HH a Z i. 5 rn ,-i - ''0 D C)C� • C) 3 n = -A D om, r Ti Q • �Z zQ) Z ∎. , � 73 7� 3 0 O C � .., co W �H� -irn z�z CO �N rnrn ���z tr1 3 - -�C7 _ O� rn�A p p N i N z--i � N~ O q 1 ; - o ��m '0 F-- ,z0 pHZ �zr D�z D A rn - rn 77 i Orn D O C Z � �= O n � � � z b � �NCr N = O rnN A as m vv . z pp �� y� o� rn -4Ho �o oor z �ga� � O D� �N 7330 g>- ' - p n c rn D ry O z � z OU r o�03 G's d N MT 13 T 2 Z i g z 0 0 0 0 0 0 rnD -0 N 0 rn 0 „ 0 C D `-i rn Osn ( xi Q� I, r n 0 A� 73 rn�H O Drna<> z�� - O to Z i z Cn m rn m r 3 -i U'z Hrn > N H( ) 73 0 373 z a m y = ° �n ` � z� P 0 O G ZrnD0 0 �� �7, t -4 = c N 77 zH' Drn -, XJ -� 5 A 00 n -I Z A� CO 3 O C, z iZ zrn HD D 70 O D o v, . A Z Z O m NO z r o N z rnI- 730 3 71 5.t6 J � rnM :1) S. - 4 1 0 0 0 0 0 m , . ", . © _ 13==70 cr,R73 �D �� O O <O rn C rn ' a% --I C,O -+O �+rn rn zN Z O rn O O� % > 15 rn p p y 0 pz 7 iDz`�'im .' - 'N p rn z0-rrn z rn rn Q-111 O 73rrn fl1 ln X Z > H iuOt D Cu0O A A '-' � O - n3 D-, �„ m7327 N , z - 373 0 z mOz 71 c z NA D00 o. zpD _0 111 11(-4 -a D rnz p3N G � �Z� � __I 7373 73 O D rn CA -A r � � �l rn O -1 ON m ,� D 0 � Oi rn O rn 1--, z 3 O `ac r-0a H � 0, 0 0 rn M E -) Q O n �d O 5 o) rn T d N c, - -0 C N N ,. m 4. N N 0 _i..p W W , Z . C) MM. - B Qs W N 3