HomeMy WebLinkAboutMechanical Permit 14.1099 W •z z i_
r- -J U. re CI W
� 3W W — _ 2;
� gggz• 41; v
i▪ `� O a0r4oc < Z .E
v w C>
c aaa mir. c 0 W
J Z _ YY ? _ 0 0 0 0.�
0.i H QQILJILI
2 Z Z — = = Z ? W C ai 0
co v a m = WWm = a _-
rn a
? waw w w w is I,
a � 3v� a �'II 1:100000 13 U U rt %'-
IL a LL I.-
): c nj i[
ii
H , 0 < v
V z
2ry
cn
Q Q W I . < $
Z < W
Ne c4 rt La:
u.V W Oe W omla
ir� g < W Q Q Q re ev no
Iui Lu
� V
a' G O t0 III CC La Z 0iuQ. ldi. ? liai 0 v v a
Di ❑ 0 5
� Z a 0 a ❑ ❑ ❑ ❑ ❑ ❑ v
\JQC
- 1 2,c1
rnro CITY OF PRIOR LAKE Date Rec'd
° ` ' " �e HEATING/AIR CONDITIONING/FIREPLACE PERMIT /t/
ti �:�4: � ��' . Com .
t1 to
I.Pink File PERMIT NO. • � •
4'fN /if'2.Green City fj G" L
3.Yellow Applicant I �' I/( ,
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
3Le11 Tc#--leir s Tor LwPt/ L)
LEGAL DESCRIPTION(office use only) �/
BLOCK 7—ADDITION e t-C✓" �1 l / ..-/:-A,/,,,,,„,� PID - Li3 7 (2 _, 0
LOT .� .,r � C Nd �J� ��
OWNER
(Name) . ■ C ' (Phone)ISC- 'f C1S-- ISS I
L
(Address) 3lP 17 Se.ffcr s Par Icwa)--)
I
APPLICANT
(Name) 7 R l ctil (Phone) $Z.10" 100 0
ii
(Address) 2 sal L/ l
(Contact Person) PS Uk* (Phone) S - 0 - 6 )G
APPLICANT SIGNATURE PJkD_ DATE I (`
\N5�� A I C k APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑REPLACEMENT 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 ❑Hof Water into Required Side Yard Setbacks.
❑Mechanical 0 Radiation Fireplaces with Box Additions or
❑Air 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) $64.50 Residential,AC Only $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $ Lig ,50
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $ al•Sd
This Application Becomes Your Building Permit When Approved e..ajc \wc l) r Receipt No.
i
Date 1 4 By
Building Official Date \`) , 5
24 hour notice for all inspections(952)447-9850 j
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372