HomeMy WebLinkAboutMechanical Permit 13. 0151 5 0 ❑ ❑ 0 00000 0 = 0 D N2
v n n 0 cn- -n-n z 2 (3 m �
� ° co m m n
TD) O 0 3 -=izu, m p
b D r - 7 ° X X X z r n 3 ° z z n :113 - Om 1 mn i D Z 13 DO O z0
Z -4 * D N (A z z Ox
C m O m O \_ d
'+ n ➢ O f` z '''l m m
F 0 - J'
4. X m v 1 3 m = 0 0 ,• ' ' 00000 0
"P x
z m m m / ` mmcnDmv
* '4 o °° =3 m =3 v 0 n
o n 73 oo m n
o m = - >000 0 3 - m
m m 0 ry r -n OO 73 =I c
tra — O i o Z 1 Q > c c z r
° z m rmm p m
0 m fl I_.
N
s m ` 4
c n L4
y 0 <❑ 0000 1 �
_ m O -n -n n m ti
126 2 0 C001M30 1
D _
< rz���g \.
D >mnn - o
4 n Z
7o m x r
m - — r m
AP"i 0 1
t �
("
p CITY OF PRIOR LAKE Date Rec'd
HEATING /AIR CONDITIONING /FIREPLACE PERMIT
Q r7
1NNESO 1. Pink File PERMIT NO
2. Ye City NO. / — 1
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
(56 FreriiO V e NW Fror r35
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
--- / � �
N ame R 1 0 l 1 `h (Pho 1) V:1
(Address) 56 X600 A-Ve WW Mr LC4 r;53 -73
APPLICANT
(Name) Rons Mechanical Inc (Phone) 952 - 445 -8585
(Address) 12010 Old Brick yard Road Shakopee MN 55379
(Address) (City) (Zip Code)
(Contact Person) Linda / (Phone) 952-445-8585
APPLICANT SIGNATURE .41 Yd-a- / V O \` DATE
II
APPLICANT PLEAS, COMPLETE BELOW
❑NEW CONSTRUCTLON ' REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL l r r �iV FUEL
FLUE SIZE RETURN OPENINGS INPUT ?30 OUTPUT qt,, 617D
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑ Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity El Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation
❑Air Conditioning El Special Devices Fireplaces with Box Additions or
❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
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
The Minnesota Statutes § 3268.148
"SURCHARGE" has been extended 'ost $ Building Permit #
until June 30, 2013,
The minimum surcharge for a -EATING PERMIT FEE $ A 111 • SIP
"fixed fee" permit is $5.00 STATE SURCHARGE $ . 0 .50
TOTAL PERMIT FEE $ :.r"
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No. 4 (
Date 3 By - 0
'4 A
Buildine Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372