HomeMy WebLinkAboutMechanical Permit 11. 0031 9 J
Z
J � Q' lt E t \ U W
U U Q
-'Z Q Z W
' Q- > 't
a 'lei W O 0 .m
'n`'1 c,9E
z
Q , W O Li ti C9 , ' w
W
O 000❑❑ ' 0>
w 44
W =
t-
Ca N
W L. Z r1 03 W O > j Q Z p 0 W
F 0 0 00Q ! J 0 U 0
ce f o
a
E3 Z Z _ w c
= Z Z_==Z a.
z o
U \! O m =W WO = 1 a F.: �, 1 W W Z .\\
y \ a23 v v a Z
❑ ❑ ❑ ❑D❑ ° y � a Z 0 W
H F
F- Z rc�
YW �. Z U O I c
9 V 0 LL o
~ cn a 3
k t , z U w 0 Z i 0 ° W r_ -Z 0Q0� v Z �, N w w W
U. V1 Z = z ��-iw ; W x O
OW W z►- O O O z °oo� y
0 0 O LLII.[ U. U) O t 5 0 0 a
U ? 4 0 a 0000❑❑ 0 5 ❑ ❑ c
W Z z H
�'_ o ? Ld cwi W Z 4.
::, 0 2wwLo Q
1 0 (V\ , .' . - s, k 0 5 1 25 a ‘ ii4k1 t 4qt; z
(v
00 00❑❑ (� I 1� x r�3
a V tt w
N
a ''',..... •., a „......., 4ii u. w t- 2 o 00044 k X: (ille ' 2 a j o = Z a z -==Z�? i � w to OO y 0 0 0 d m L 2= � /� a 3
CJ E wa _1w VVI '1 1 ° w w z X O
a 23 vo a 2 w w w w W
' X's N 0 0 \ ❑ ❑0❑ ❑0 \ ji list B o p 1 w c4
H
(v) \ ce z J O W
<
Y , i `v z ` , ► � 0 0 - i ll.
o Z o z W y '! ! 00 � a
Z Q0- a Z '• a v v 't`� w
u w z F zz 2g J Z w ' w ce o Q A
0 w a w z °n4Q Dz� `∎ { rt U U a rt o o o
can 0 O oo LLZ tiV, p 9 \- \J 3 .
vz a 0 a ❑0 ❑0 0 + ❑ 0
5 . 50
pRi CITY OF PRIOR LAK . 7 6 D a t e Rec'd
o
i:+ 0 i..-e HEATING /AIR CONDITIONING /FIREPLACE P ' IT
T
41'NNEso��. I. Pink File
2. Green City PERMIT NO /, / 0031
3
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
3ci t alr'ct
Co ve1 T i s e
ZONING (orrice use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Name) John Cu.r \ e k 1 t , (Phone) C2 L o I — 0 (a
(Address) Dzql e&na D Trc1 S6
APPLICANT OflC W )W ' (Phone) 1 (� 77 am
(Address) i4- VCrni1 11110)') S1 rxt VflSt1r)aS 3
• ddress) (City (Zip Code)
(Contact Person) II 1 _ ! 1A h I A (Phone)
APPLICANT SIGNATURE , .' a s a . l 4 � • "l Li A.I, i ■ DATE 1 4 201 1
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTI REPLACEMENT El ALTERATIONS
FURNACE MAKE AND MODEL GDou n FUEL
FLUE SIZE RETURN OPENINGS INPUT 10 , Oa 0 OUTPUT x
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Warm Air Plants PLEASE NOTE: Air Conditioner
❑ Steam Units and Fireplaces Cannot Encroach 4
k ravtY
i❑ Hot Water
echanical ❑ Radiation into Required Side Yard Setbacks.
❑Air Conditioning ❑ Special Devices Fireplaces with Box Additions or
['Vent. System 0 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 $ Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Pais Re e t No. uo
Date
Buildine Official Date /, /Z—, 1 /
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372