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HomeMy WebLinkAboutMechanical Permit 14. 0728 5' 0 0 t n 000000 • 0 > E 2 0 0 73 0 § � �k © § �/ c m m n k ti § 2 m Ems \§§ 2 § d-o 111 r q q > .. §Q � Q �O 0 % . * > a n z 9 § ■ to CO =IE S k 0 rt \ I; 1' % x r 7 § IlltN ) § -41 13 13 . 11 073 q 0 0 OOCOO y . m m mm � iv ® * ; r 41 x pm E c Xi s, k� 73M73 � nn 0 g \ 0 � � § $kk 0 § % m n 0 : r 0 § m i 'V -0 P § c, x § 0 k § . k ) I� Xo o o 0 o � . § 2 0 ® , F„ 1 trig ` — § < o . E � -013xi % 0 �. �kk20 q m �� � � 2 rn c z - -I. r Q . /i/41/1.a. DM-1(-0 Xy i/b3 hi_i, ---.iv, /,6, - -itd ,/2 g--se, - k- I c I'Rio CITY OF PRIOR LAKE Ler hca •4 ? $ Date Rec'd ° rs; HEATING/AIR CONDITIONING/FIREPLi E PE 'lj I! `1 �� + AA 4,1 1 �,,yy t IM yep' i5 tf�i^1 4' ,c4' t.>,"k Fik PERMIT NO. ) -I(f �NESD 2.Green City /�, Al��JC 3.Yellow Applicant l J CJ I (Please type or print and sign at bottom) ADDRESS '‘ ZONING(office use) 5510 lrri14) HR s E_ R )5 .6 LEGAL DESCRIPTION(office use only) LOT / BLOCK / ADDITION F-0/?Z 00/11(6' / / -Cia) PID t b7g7- Dot0 OWNER ( 1COfiU n (. -.) 22 3 (Name) �Gf 1 1 -Tv (Phone), 2- le' (Address) ` APPLICANT HEARTH & HOME TECHNOLOGIES (Name) (Phone) dna FIxtSIUE HEARTH & HOMt (Address) Lic BC662656 ( 2709AWARIEw AVENUE N (City) (Zip Code) ROSEVILLE, MN 55113 (Contact Person) 6c1.633 2561 (Phone) APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION vig. REPLACEMENT 0 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 0 Radiation Fireplaces with Box Additions or :kir Conditioning 0 Special Devices Cantilevers to the Outside of Buildings :Went.System 0 Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL 8090 c /_- <_O/ — FEE SCHEDULE Industrial,Commercial&Multi-Family I%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 `0 $49.50 Estimated Cost$ 50 v• OC Building Permit # /0 ' ,V The Minnesota Statutes§32613.148 SIJRCIIARGE:"has been changed for one HEATING PERMIT FEE $ II" year effective STATE SURCHARGE $ ! 1 July 1,2010.until June 30,2011. TOTAL PERMIT FEE $ ,i.� The minimum surcharge for a"tiled fee"permit is f,beginning Judy 1.2010 (Office Use Oniy) c / This Application Becomes Your Building Permit When Approved j i Receipt No. 1 l CJ �(� V ate v a I I(� By --i Building Official Date 24 hour notice for all inspections(952)447-9850,fax(9 2) 47-42 5 4646 Dakota Street S.E.,Prior Lake,Minnesota 553 2