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HomeMy WebLinkAboutMechanical Permit 13. 0363 EEg n 00000E m 0 > E D © 0 0 ® -n - 0 2 /� C �zm co m m m n k \ k k k. q ���§§d Z $ -I m 71 t § § ¢ 2 $ Q >o P �k 2 0 § om E' 2 z G 0 0 q 0 5, § - z q z § - n 0 ® 0 7 W -1 -n \ 2 o f 0 II 002000 m § K� ®* cr \ x 7 q§ 0 m = k m o q 2 q m m / 2z=I » z m 2 2 o 0 0 \ r %RR \ 71 ° o 0 0 �� c '13 § 7 Z �� \ §% / m . k { m c 0 �k% W $ m » A00000 , , o m 5 z § a2$§ LI ) § c §q § f ` 2 mo L W % § >m mK) - / m ��■ E ■ •1 m � 0 7 ( VR lp CITY OF PRIOR LAKE Date Rec'd HEATING /AIR CONDITIONING /FIREPLACE PERMIT 72),..r ii f1 INNEso . 1. Pink File PERMIT NO . 2. Green City /3 _ (343 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) (120 Der fi cf Or LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Naam )R1 (OC 7 - lion void Void (Phone) b L, v L-. b11- (Address). 7267'9 f I l l l(I O( 5 l?iO( `a r 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 t � APPLICANT SIGNATURE �J � . • DATE L1 0 ' 33 4 APPLIC , NT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION [,REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL Rut VAgUrati FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE: Air Conditioner ❑ Steam Units and Fireplaces Cannot Encroach vity ❑ Hot Water into Required Side Yard Setbacks. ❑ e chanical ❑ Radiation Air Conditioning ❑ 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 § 326B.148 ,ost $ Building Permit # "SURCHARGE" has been extended until June 30, 2013, �1 The minimum surcharge for a HEATING PERMIT FEE $ :b .4) "fixed fee" permit is $5.00 STATE SURCHARGE $ WV .50 TOTAL PERMIT FEE $ 11, s (Office Use Only) This Application Becomes Your Building Permit When Approved Paid) / 6-- Receipt No. , e b 93 Date , // By, -- Building Official Date `� �,"L� 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372