HomeMy WebLinkAboutMechanical Permit 15. 0292 J
IU Z Q
P 12' •, :ji Fe' IT. c c ,..—.
0 = lith z
W Q
< . iut) 1% li0' _
1 -4000000 > co
De
o
`n vLU O
a
O N C
O a a CO UJ Z
Sol
Z Ypx ? S 0 04
z O F
W S
V 0 W Z — xxzi � - w CO
CO P.
0 a m1Wwm1 a z
� Wj � W W W I
)1. CQ
riN a23tna W W W �;
x ii
a a �.
0
'� 0 z 0
au.
x 0 I a a Y'a
01
re Z 0 z wci) ,' g Q r. W-zco 4 N
a° ° =N z Z05
yZ W Y LU .1 a
OW 11.1 W Z ~� � X�NF- O Q
a si G O uO. uu.. UU. zriv� 0
3 V V V
az < O a 000000 C) ❑ 0 c
d 1
r Rio OF ' : IOR LAKE Date Rec'd
0,44-".140'
a ,,,. ,t Itc.„� HEATI , IR CONDITIO . G/FIREPLACE PERMIT
v• fr>r
•
• tANESDcPs 4, 0 2.Green Pink FileCit• PERMIT NO.
/5-
3. Yellow Applicant / r / ��
(Please type or print and sign at bottom)
ADDR
� ZONING(office use)
1t13 ( &tn � �
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
i
OWNER
(Name) r C /j 61 (P e .,___:/ocof .
(Address) a a),P.—
APPLICANT
(Name) (Phone)
Standardtiedting&Air Conditioning _
(Address) 130 Plymouth Avenue North
Yfnn (!, y s) —
l2-g24 (City) (Zip Code)
(Contact Person) _ iii41 (Phone) •
�''M
APPLICANT SIGNATURE _ DATE
APPLICAN 4 LEA E COMPLETE BELOW
❑NEW CONST CTION REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL (/1'yy �t FUEL ( CO
FLUE SIZE RETURN Ol ITIGS INPUT at v 0 i e`. TPUT `)_
TYPE OF SYSTEM HEATING OR POWER PLANT —
PLEASE NOTE: Air Conditioner
arm Air Plants
❑Steam Units and Fireplaces Cannot Encroach
Gravity ❑Hot Water
CI Mechanical ❑Radiation into Required Side Yard Setbacks.
M Air Conditioning ❑Special Devices Fireplaces with Box Additions or
• ent.System El 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 $49.50
Estimated Cost$ e1 311 Building Permit #
The Minnesota Statutes*32611.148
HEATING PERMIT FEE $ G q> s c "St R(I IARGE"has been changed for one
l Year effective
STATE SURCHARGE $ 5.&t) TU' July I,2010,anti(..Ilene 30,2011.
TOTAL PERMIT FEE $ Tftr minimumminimum surcharge fora"fixed fee"permit
(Office Use Only) �`�• 71 is.j5,be inning Jul 1.2111(1
This Application Becomes Your Building Permit When Approved Paid,`S� Recei No
. 9`t!.0
Date 4TL7� is..-� BBuildine Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 •
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372