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HomeMy WebLinkAboutMechanical Permit 12. 0629 0 ❑ 0:c C) 00 000 0 11 0 > 2 n 8. 0 0 0 0 -4 fl 0 0 Z m m m 0 7:4 XI 73 ti 7 c m m m m z 0 y -i z - .4 D Z 0 ')_, O z0 t o 0 2-n N z Z ` zox co D r _i M o 1 z O [) \ Z C7 7C m 0 O . 4. m m m O � z � , z 4 z 0 0 0000❑❑ t\ o m - m m 3 -vo *3 a z v v \ O -(0C 4 o -o x3 mx3 v 0 0 a v , 0 v Zzii�z Z _ m m -4 D000 O 3 ►` v 0 0 2 \ " r 2 7C7� - z -71 p r �° 0 m �" r- O m o Z m ° A 0 r \` I X i to 0 000❑❑ ■ y z z G)r0Om N i 0 a77730� m 0 O v m ro 0 tr' o Dmm m 55 Tx -4 E 0 m ...' r 0 i,.. o � P RIB? CITY OF PRIOR L AKE C Date Rec'd 0 1 HEATING /AIR CONDITIONING/FIREPLACE PERMIT -* i 4jNNESe ] Fink File PERMIT NO . /7 , /_ Z Z. Green City ll�� 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS - ZONING (office use) ZgC 5P/1-1A/? L416 s ). LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER - (Name) byr /_ t' Z (Name) 1 ( Phone) �/I `{ ` J (Address) o° O© 4 - Leae__ ed.. (l� Lrit -C.,, APPLICANT �_ o� 1�_ l a---(441- $ j 1 b (Name) A Dr LA L., [�I"'CL r (Phone) (Address) P 6 fop V' P r l -b- -7� (Address) f (City) (Zip Code) (Contact Person) A2Y\ Are dr (Phone) ac;- ^ ( I L 1 7 ^ 8I 1 0 APPLICANT SIGNATURE DAr--edifil— DATE (' -': — I APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTIONZEPLACEMENT ❑ ALTERATIONS (1 URNACE 1�AKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT 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. ❑ Mechanical ❑ Radiation Conditioning ❑Special Devices Fireplaces with Box Additions or V ent. 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 Cost $ Building Permit # The Minnesota Statutes § 326B.148 "SURCHARGE" has been extended HEATING PERMIT FEE $ until June 30, 2013, STATE SURCHARGE $ .50 The minimum surcharge for a TOTAL PERMIT FEE $ "fixed fee" permit is $5.00 This Application Becomes Your Building Permit When Approved Paid L 5 O Rece o. 66 z _ z / D to ZiU /� B Building Official Date ' . - 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 - 4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372