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Building Permit 13. 0446
E 0 0 O 0000 T 0 a g $ o * 0 ■ s � TI 71 § § § � � 2 r- 71 x x x 3 m c it ei m rn mo O � 0 z ;,) �� � � ■ §∎ R t _ -4 ) > k n ■ cn g z 2 • k x C § 0 >z j \ 7 ) r 7 X---. M m q -1 2 13 % 7 § 7 000000 � � , x m m m arvb* o -1 o — nc >m § ■ §�§ m c ? o §? m 2 \ >020 0 27 z m § o z r 2 § 0 z' p c r § „ # m r -0-0 P m 2 „ A I c n \ cOOOOo | J o z Q _fl 0 � \ > R. v commE© m 'M i f555 ° q z i nn ■ m A 73 -n § V5 z 4 0 r% . 5 0 D n O ❑ ❑ ❑ ❑❑ = O > NA n 0 a 000 3 -IZ40 88 z ° m 73 m > Q 3 mr> - c3z-4 m X run) 0-O Oy m y .*.oz o o.0 01 F - m o 0�0 zo b • : 0 N -4 z mx o > > o —0 m Z °3 0 0 000000 O -4 z v m ° mrM > _ >ci >m y , _ , W P M ZE m 0 M > 3 - m 0 b . .� 0 0 r 'n c o w Z cc • z r C A Q & r "D 0 m N _ 0 c m m ❑`tRA3000 N ti _ _ �� fts O O u m 0 m� \ m D m> NI n 1 > mm 4 in XI -ri� r -I z 1 -+r o I 1 o . t pRIC CITY OF PRIOR LAKE Date Reed 4 HEATING /AIR CONDITIONING/FIREPLACE PERMIT , Z d (3 v l - / / r /3 4 SNESo;it' i. Pink File 2. Green City PERMIT NO . a -4 lSf �] 1 4 ,y j 3. Yellow Applicant 11 ease or mint and sign at bottom) ADDRESS ZONING (office use) Jb &9) g„,, /3 ,5.zw ( LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PM OWNER °__7 /97 Ai r (Name) / (Phone) (Address) APPLICANT s (Name)_ vi O 9e:SSd _ il ti J- vte_ (Phone) II AA (Address) $ 3 t) 4- V J el i t°1 ke ?- f 33 7 / ddress) (City) (Zip Code) (Contact Person) a rn i t" , . (Phone) 6 1? - 7 6 9 --` t c 0 APPLICANT SIGNATURE _MEWL! '\-`� DATE $ 20 ° i 3 t„ APPLICANT PLEASE COMPLETE BELOW :NEW CONSTRUCTION ❑ REPLACEMENT 0 ALTERATIONS • FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT [Warm Air Plants ❑Steam PLEASE NOTE: Air Conditioner ❑Gravity ❑Hot Water L %/v Units and Fireplaces Cannot Encroach ❑ Mechanical 1:3 Radiation into Required Side Yard Setbacks. ❑Air Conditioning ID Special Devices t Fireplaces with Box Additions or [Went_ System. f. Other Devices G 6 Re, p f js 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 $ D crd ,© ` z Building Permit # The Minnesota Statutes § 32613. 148 HEATING PERMIT FEB 4q..s0 "SURCHARGE" has been changed for one Year effective STATE SURCHARGE $ S ©a July 1, 2010, until June 30.2011. TOTAL PERMIT FEE $ 5-4 .5 The minimum surcharge for a "fined fee" permit (Office Use !)ely) is SS, be'inning duly 1, 2010 This Application Becomes Your Building Permit When Approved Paid 1 v Rec r No� y a Z Dane , Bq Handing Official Date 5 1� °' t 3 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 J