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HomeMy WebLinkAboutHeating Permit 15-0014 g 0 O n 000000 o a En 0 n 73 k . �k�kkk $ M0 222elr ° ■ � m i l 0 - PIQ - 0 , L., 01 W7 z § _ z m� \ o 23 / § 3 � c.3 ii -n 2 ... II ) 2 7 § ` D0000 » § m m m m v7 � ■ cam j ) § o o ` oc -10c % 0 ca m -nwzzxw m 0 ■ 0 2 m ƒ \ X > 0Qo 0 § \ % m m \ 0 r -n §§ . o § R. § �~ � � � 0 z r. k c) kE 0 - ■ < . , ❑ 00000 % > 0 > 22 §§ �§_ R. a © WrrE © \ 0 ). 2,§ � 4 m Fy -n ■ -1E 2 0 $ - z m -1r 0 ov rnlo CITY OF PRIOR LAKE Date Rec'd ° _'E 'z. HEATING/AIR CONDITIONING/FIREPLACE PERMIT / ./,3"- N t:.y U >" tri 1.Pink File PERMIT NO. 4"/h'NEsdt t. 2.Green City /S - /4— 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 6-Y7, ,m h4,uJ int: /lCo LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER ,-, i jj� 9:5-0,7-5/2-/7/6. (Name) hr t S ge.�-Zef (Phone) (Address)S1,7 grylVe t/o-v-d Of /7E APPLICANT (Name) tiG� 4cocktiliC (Phone) ?c5.2' 0/1/,,c-- (Address) /1/,5(Address) 7-0 lAri r Sk d9 C/10.41,4c4" m4 =S'-��/-- " ...----- (Contact Person) o,.i (Phone) 96-- - 0/-,r,5---- APPLICANT //r,,S— APPLICANT SIGNATURE DATE /- 5.-/5— APP ICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION 1 PLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODELCarrr-kr .5 gmn -io moI/n- Y FUEL n4-7- FLUE 14TFLUE SIZE RETURN OPENINGS INPUT .0000 OUTPUTS .20O TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants CI Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. Mechanical 0 Radiation Fireplaces with Box Additions or DAir Conditioning 0 Special Devices Cantilevers to the Outside of Buildings ❑Vent. System ❑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 $49.50 Residential,Heating Only(New Construction) $64.59Residential,AC Only $49.50 Cost$ �6S `#." Building Permit# HEATING PERMIT FEE $ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid 5y 3 ! gir; No. / /3 � s I I Building Official Date Datei� — I 24 hour notice for all inspections(952)447-9850 4 11 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372