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HomeMy WebLinkAboutHeating Permit 14-1309 I 0O n 000000 v 0 o § n n I ■ � gm o o k § 0 r ■ � � rn 0 �.0 til r nn 2 $ �o � Q P o■ Ct ei 0 m Cl) © z 2 z mi 0 m k 'n 0 z \ Z 0 x % o a > o �\ m 73 r 0 - p § k 0 0 000000 M Mm m t ■ � ■ ■ ■ � m co \92 ■ 3 \k m 0 Cl) 2 \ z e i 0 0 › 000 0 k -1 ( M q U 2 ■ - z ! r § 2 $ m � � � P . m 2 k 0 , % I m n § ] D0DD0 - 1 ■_ q � § ? 22 § § � § R. D ® 3 r � "0 $ ® U V-% \ D.0 > in'� § m - 53-4 - F g -1 — m -1i 0 I RIO CITY OF PRIOR LAKE Date Rec'd N e HEATING/AIR CONDITIONING/FIREPLACE PERMIT V `��nnv$so�`' Crq '+ t;'h 2 Green 3 Yellow Applrcent (Please type orprint and sign at bottom) ADDRESS ZONING(ohm use) 1. $ 3V e614Jose LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER(' �� A'r t kl L0 i k ‘e______ (Phone) ( %.(y) )r) i ,1 3`7i (Address) <-7?LI <et t-t ,1 ( it, lJ- (Name) 31 APPLICANT; 7) ., 77 _ // C (Phone) c/ 7 7 I ii (Address) ? / , 1 . -1 / e (Address) (City) (Zip Code) (Contact Person) ( la rot (Phone) APPLICANT SIGNATURE 1 , DATE ' 1 / b / 1`1 J APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION rri REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL 1q4 y4^/T 90)S T,<} ZJd-OCo b EFEL ( `7 a f FLUE SIZE RETURN OPENINGS INPUT &0 i G G 0 OUTPUT Ste, o O G) TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach Gravity 0 Hot Water into Required Side Yard Setbacks. Mechanical ❑Radiation Fireplaces with Box Additions or Air Conditioning 0 Special Devices OVent.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 $49.50 ''�"--'-'Cost$ Building Permit # The Minnesota Statutes§326B.148 L/a3 ( 6 "SURCHARGE"has been changed for one HEATING PERMIT FEE $ !• J year effective STATE SURCHARGE $ .50 July 1,2010.until June 30,2011. TOTAL PERMIT FEE $ SD - 00 The minimum surcharge for a"fiaed fee"permit is SSS,beginning July 1,2010 r._- This Application Becomes Your Building Permit When Approved 1 liid 66, - ~ ceipt No. 1 C J., r l J #itte By Building Official Date 24 hour notice for all inspections(952)447-91150,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372