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HomeMy WebLinkAboutMechanical Permit 13. 0619 \ _ Z 1§ § ■ � ■ � * 2. 2 ( 1/4 3 2 5 5 5z > A CL CL 4.. 0 §§ IL 2 2 ~ 4 Nk EU ■ o w § 000000 J > w \ § w N 0 et CNI \ § d a& w z c) t: � E2 "8�K �N \� k 0 0 « - w § o x P § » k k 2 iz �f��� ^ 0. 6 2 k \ � Q� � Q . 0 0 2 I e5 a § § § § OQOOOO & § § z % \ 2 iE Au 111 . / 2 / \ w z II 0 5 ~. 0 � § § § % 2 § o § 2 4 N � d z a « . o _ z _ w w 0uj la § W rs =X \ � " } © k re § § J ■■ 0 I 0 0 g § 2 2§ a. 00000O 0 10 Cl £ o � V RI0 4 . CITY OF PRIOR LAKE Date Rec'd z HEATING /AIR CONDITIONING/FIREPLACE PERMIT U trl 1. Pink File 4rj PERMIT NO. NNEs � 2. Green City /3 .. 0619 3. Yellow Applicant / (Please type or print and sign at bottom) _ ADDRESS ZONING (office use) 567q5 - Cf::don:05d 5 4E Y)( LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) R U � d ( )f S ► `E � _� Z � }-� � �} 6/ Phone (Address) 5b Cedarico 5t We Cl tj tat - APPLICANT (Name) (Phone) Mechanical In (Phone) 952 -445 -8585 (Address) 12010 Old Brick yard Road Shakopee MN 55379 (Contact Person) Linda ''",,�finn (Phone) 952 - 445 -8585 APPLICANT SIGNATURE 1 r 0. ! 11 DATE (J ) '� 3 ' APPLICANT PLEASE COMPLETE BELOW El NEW CONSTRUCTION _ .REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL 60,010,V FUEL FLUE SIZE RETURN OPENINGS INPUT COO,QO OUTPUT ,�}j- is ) 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. R Mechanical D Radiation Fireplaces with Box Additions or Air Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings ❑ Vent. 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 $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Cost $ Building Permit# HEATING PERMIT FEE $ APt5 STATE SURCHARGE 1.1t(4 TOTAL PERMIT FEE This Application Becomes Your Building Permit When Approved Paid t Sy_ Receipt No. 936s Building Official Date Date / / o/ By 24 hour notice for all inspections (952) 447- / 9850 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 -