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HomeMy WebLinkAboutMechanical Permit 11. 0145 c 0 000O0O 1 3 0 > 2 2 0 n 0 0)11 - -n-n 0 0 S ) 0 0 k §§ k C M / C Ek§ m M �k \ t \ Z k k �\K Z & w » m 0) m z , z 0 @ k ©° 11 ¢ q 2 z 0 $ § f § / z 0 m 0 > 2 %% » E o 3 m O 12 IN z JJ0 0 L N ik00000 M m m C 13 O - 0 § 0 � b \§ mr ... • 7 2 k/ m _m§ § 23 73 § - n. 0 z 2 7 G q - � ► E k-xxz q k I 0 m 'a \ 0 r 3 0 0 p3 Fi L 0 k z} m \ §\ P m / A 0 r 0 I m § _ c 0 3 m 000000 ) z 0mmom 2 --, f. ---r ^ k ° §§§ § q C., \ q 0 / \ \ §- � § m mm ¥ e \ - cn k rn w r 0 r� ,RRro CITY OF PRIOR LAKE C/ Date Rec'd °� . e HEATING /AIR CONDITIONING /FIREPLACE PERMIT 3 . t 1 . H v 171 41/N111 ESO`Ce' 1. Pink File 1 I . 1 1� 2. Green City PERMIT NO . }� 3. Yellow Applicant .�J (Please type or print and sign at bottom) ADDRESS ZONING (office use) e 4 -- ._.mom-t- cif . 3 . LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER — 1 -\Q' ( �-�1 C15— 4L - 1_ 1 is ( I (Name) Thar b o,., (� (Phone) (Address )C �4 - e n- fi r . L L. P t (V L. a y.° i 3 a. APPLICANT i a� r n (Name) r -. `- V '• e HA 5G • ( Phone ) 4i'� -- �.J 1 10`1`7 (Address) LociSG (-3. I Tt II i( • Q1 . � \ 95 x-4 (Address) (City) (Zip Code) (Contact Person) (TU- \ (e3 (Phone) Crra 451 - 1(- APPLICANT SIGNATURE . c. . -L DATE ,..._.3- r - 11 APPLICANT PLEASE COMPLETE BELOW NEW CONSTRUCTION IA-REPLACEMENT ❑ ALTERATIONS }� FURNACE MAKE AND MODEL fl L C L 1P- P `v - 7 FUEL f"1— 'L- //--��� "� FLUE SIZE RETURN OPENINGS INPUT l � OUTPUT LO , �2 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. VI ❑ 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 Estimated Cost $ C� I d • Building Permit # The Minnesota Statutes § 326B.148 "SURCI IARGE" has been changed for one HEATING PERMIT FEE $ 40. SO year effective STATE SURCHARGE $ (. ,July 1, 2010, until June 30, 2011. TOTAL PERMIT FEE $ 514.3 o The minimum surcharge fora "fixed fee" permit is $5, beginning July 1, 2010 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid 5 go Receipt Not z„.1 1 Date ' Building Official Date 3, 11 , 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372