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HomeMy WebLinkAboutMechanical Permit 14. 1166 . . .. . . _ _ , E 0 ` n 000000 V 0 > E oX c9 n n 00 . g � z�� § � %) a. 2 § r R § 2 m § � c■ 22 z 0 §- § tiii k tn �� � Q P Z— C ®C eco 0 ■ co n z z § ■ 00 0 d % n z § t \ z r 0 - -n N. % 2 § § 000000 ° § mm (\ c , a, * . N 2 § o o . 0 C -10 C 2 ? = s m ■ s -a n ■ 7 2 3 0 2 § 77 � § rn z s . \ § / rmOO Xl p eil . � a § z n m � � � P \ tz ■ x I ^ , c ■_ OvOOO • o zz ? 22 §§ ' Re 0 Q CAMME © X % mkksE 7371 -nx � r 'N -I — § � r 0 . YRlp CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT , (o.17, ILt � 1.Pink File PERMIT NO. 4 NNEso 2.Green City `4C I,// f 3.Yellow Applicant / (�tQ (Pleaie type or print and sign at bottom) ADDRESS ZONING(office use) \G\1, ��v\w� diol I S 1� LEGAL DESCRIPTION (office use only) LOT L{ BLOCK,, ADDITION a 9 /4- PIDg5 /65- 013OWNER , '�O (Name) 4S\1 A zAGlo` �J y11 (Phone) CD I a 1L 11I 5 Z (Address) 15\% 01\i\G(l/kV) ( r oV6 1 ()heir /AQ KAN 5S3 ?-2- APPLICANT (Name) BURNSVILLE HEATING&A/C, INC. (Phone) 3451 W.Burnsville Parkway (Address) Suite 120 Burnsville,MN 55337 (Contact Person) (Q59)894.-0005 (Phone) / / APPLICANT SIGNATURE ,t►.11, V !A 11.E I DATE fa -7-1�I APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ►.?'REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL Q ' \y y) Mg(Q\CC.o© FUEL 1/144(,t 1 .I FLUE SIZE RETURN OPENINGS INPUT (60,000 OUTPUT S -(C1C) TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach 0 Gravity 0 Hot Water into Required Side Yard Setbacks. echanical ❑Radiation Fireplaces with Box Additions or P Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings ❑Vent. System 0 Other Devices Require a Building Permit. MAKE AND MODEL OKI S0360 \f\ 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# HEATING PERMIT FEE $ Lig STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ 5q.'50 This Application Becomes Your Building Permit When Approved ,.j g LA Receipt No. d 2, \.1-/ Building Official Date Date`o - ,.,„1 ti, By - A 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372