HomeMy WebLinkAboutMechanical Permit 11. 0847 w Z _ZF j ,
J W W li• R + 1 U Fr
LLZUU `1 , z w
g5z ! >
U' 2WWy �� \ U Q
w � �. Z
o w W ULLtLo N .
W � 7
`q , ❑❑❑❑❑ , .. > Z
\ °' 0 o
■1 L x
t ,
o
U.
.4" 0
W
CI
W O »a Z o
U Za
0 d : F - ' 00 o — 1 0 ` a`� 0 j o
` Z a Z_ I Z? 1 ► 0 c N O y
x 111 O U w to =W lYtlN= J \ \ � ( � a ., Z
W Q W . W W W � x 1.L
aa � .2 � U U ■ Z ix
00000s• W ix
.. a a U. x
\ > o J ` a W
Q • 0 a 0 O
Y� z a g
0
q a
Lo kle
r4 O z Z ° Ul _ a 3 e ^ a
O z g O w F- I \ a 0 0 I
Z (� 1- o U' - a Z �n U U .J W
ao U) z z? -1 W 0 ' CL Ce o a o Nio O W z W z ood 2 M O U o . v A- O LL LL LL Z LL N O l � N
U? < 0 a 0 000❑❑ 0 ❑ 0 c
(..i.1,.R'' 1 CITY OF PRIOR LAKE Date Rec'd
- HEATING /AIR CONDITIONING /FIREPLACE PERMIT 36
-,':,''''r '.INNESdcP 1. ' e k e n Fil PERMIT NO. .
llo y4-
3. Yellow Applicant
e ncase type- ar<int and sign at bottom)
ADDRESS ) ZONING (office use)
/(t 0 '7 / c, 4, Al r, -G:, 5/
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
O W ex3 by G � c: k rvP d' (Phone) 95 G Li 9 -S SITS
,...____.--
(Address) 5? 00 CI . y - k— leS 5 ∎ T om. .2 i 0
APPLI ANT
ame P C` \ • a• tN 4 (Phon& 9 6-.2- L/7 e1 I 0
„ dress) . c.- •'' i ''p p IC 1 `) 1,-& API- .•.
(Address) (City) (Zip Code)
ontact Person { -ems w , IIL.- -. (Phone)
- • •LICANT SIGNATU• A Z.. 1 ,; _. ,, , DATE) g°30 aOi/
APPLICANT PLEASE COMPLETE BELOW
['NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE 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
Air Conditioning 1=1 Special Devices Fireplaces with Box Additions or
EVent. 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 P rost $ Building Permit #
"SURCHARGE" has been extended
until June 30, 2013, SEATING PERMIT FEE $ 41 S
The minimum surcharge for a ;TATE SURCHARGE $ S . MD
"fixed fee" permit is $5.00 COTAL PERMIT FEE $ 5 3 - ,S
This Application Becomes Your Building Permit When Approved Paid z( Receip o6 390,6
Date f By
Buildine Official Date O• 1
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372