Loading...
HomeMy WebLinkAboutMechanical Permit 12. 0144 i . rRto CITY OF PRIOR LAKE Date Rec'd �' HEATING/AIR CONDITIONING/FIREPLACE PERMIT ,ci_ E try/ii_ 07 i'iNNESoo !.Fink File PERMIT NO. �y 3.Green City 3.Green Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office c se) 1 lodr c.,,vi AA e rc e Ave ivy LEGAL DESCRIPTION(office use only) • LOT BLOCK ADDITION PID OWNER • (Name) /..11\G loCC/t!S;esA LL C (Phone) 6'551' 73 L/- )'5'& (Address) ‘I en Po,vJ Vice,/ C -1- 4-9 Q,t Ai sV 5-5- /,O APPLICANT (Name) Lofgren Heating and A/C Inc. (Phone) 9 3-) - 4/3 /- 5---8/ 1 5708 Upper 147th St W#102 . (Address) Apple Valley, Mn. 55124 — (City) / (Zip Code) (Contact Person) i un Gly A A d k i°li,S (Phone) !�/a•di 9% /© I I APPLICANT SIGNATURE 71 ciA.49 •, -e- DATE 3• • /.2 - APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION�� __ 'REPLACEMENT 2 ALTERATIONS • FURNACE MAKE AND MODEL CPC>C'cl•!Yl Ctrl—rw C PGO ! ©Z/0—3 FUEL N & ��11 FLUE SIZE RETURN OPENINGS /O INPUT v 10.0 0 Co OUTPUT /6 gi ooO TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ' Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water ❑Mechanical El Radiation into Required Side Yard Setbacks. ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or 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 $49.50 // 000, c'i° Estimated Cost$ Building Permit # 'Hie Minneso a Statutes§32613.148 "St.1RC11AR<;ye las been chanced for one HEATING PERMIT FEE $ ' £O � yea effective STATE SURCHARGE $ .50 .Inl', 1,2010, iii til June 30,2011. TOTAL PERMIT FEE $ I O5 e 00 The minimum surcharge for a"fixed fee"permit (Office Use! 1y) is S;,beginning July 1.2010 This a =,ion Becomes Your Building Pe it Wh Approved Paid /6,5 JG Receipt No. �� 3 7I A 3 /fZ. Date // By c uildine"► Da3V /L OIL__ • 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372