HomeMy WebLinkAboutMechanical Permit 13. 1026 O 0 00000E ƒ 0 2. zg
/ nn 0 ezz -nm- 0 z o q )
A n a °° o . C k 00 m m q M0
m m
§ ° 0 0 0 m § � § §§ z $ j
Z \ � mm . Z Q w ® z�
10 *» d � cn§ z$ z q
§ a ,, . 0
\ ( 8 \ �� z 0 0\ m 11 0 > . m
m 0 > 7< \
-4 • 0 § 2
I
z 0 0 \, O�2oOo
M m m \ ■ 17a *C77
\ % o � w � & /} c -0 0 0)
} § § \ 7 iR' \ � x ]z —z z % \ /
% a \ \, > ■
., §` . \ x r ,i 00 7) 9 0
$ g § z 0 w k 2 §) z \ r
0 ,
~ « ��� o
^ m / �� rA
1 0 n ®1 ~ ,
§ 2 �\ 000000
z
\.
/ \ ' Nk
} 0 k \ kkk3\ : . - N rri
\ / » ~ \ . ;71 tj �� \
k 0 ~ , _km�K
\ -a pa K
) 5 — Z
® A 0
/1 t, /
J )1u Q PRI -% CITY OF PRIOR LAKE Date Recd
�' / / HEATING /AIR CONDITIONING /FIREPLACE PERMIT
� t
er AN"
*NES
I. Pink Fiit PERMIT NO . /
3 . Green City l 3 _ / /) J /_
3. Yellow Applicant (/ ��i'
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/(p 6 7` rA.i1 Hli�n 7- ra Is/ 3,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER < 7 - 1k-el) [ 1 2 6 i (Phone)9 ` / � 3
(Name) L �" (Address) ./L, Sex, 3 L l� ' GL/l M// t n / /- ✓.—e
APPLICANT
(Name) CENTERPOINT ENFRGY (Phone) 763_75.7 -6202
(Address) 9320 EVERGREEN BLVD NW SUITE B COON RAPIDS 55413
(Address) (City) 415 (Zip Code)
(Contact Person) JOANN ZINK �, (Phone) 763 -7-
APPLICANT SIGNATURE , ✓ I . ! v :I/L. ,, i DATE 9// ///
APPLICA T PLEASE COMPLETE BELOW
ENEW 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
Gravit ❑ Hot Water into Required Side Yard Setbacks.
• Mechanical ❑ Radiation Fireplaces with Box Additions or
I Air Conditioning — � yABBat ❑ Special Devices Cantilevers to the Outside of Buildings
■ Vent. System a 40 K ❑ Other Devices
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 •' ' -
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $ 4
STATE SURCHARGE $ -'7_. ) )
TOTAL PERMIT FEE $ Sy , 56
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid SL 9 - 6 Receipt No. 7 sI 2 9
Date (11, 71/3 By ; f
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