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HomeMy WebLinkAboutMechanical Permit 15. 0399 5 0 ❑'L 0 000000 13 0 » E- n 2 000 . c § z0Fo2 0 m m "-c o 53 5 m m n O tvl r M n m � � § §� Z 0 §� � t k » § n z �k % 7 0 o z / n m m o % r 0 - kk k 000000 0 " / § mm � r0 S ; r $ Q o Q a ¢ ! § Zx_xi � m 0 C) § 2 ch m ƒ § > 0010 0 _3 -I M § Z . � 2 §§ ■ p �� c ■ § n m 1Plo rmm p m/ ■ 0 \. M X 73 §L % a m O$ OD0 .E ' �_ o _ ! � §§ o !v © �! r '0 - ® ` a W L23 z rit, l_r\ -i 0 . » mm § � _ § m li E § -4i 0 CI '� � Rec'd rnlQle 62 ` CITY OF PRIOR LAKE Date Rec d i.';.h,:A HEATING/AIR CONDITIONING/FIREPLACE PERMIT it.,, �' -#--3-3694.92-001 r� I.Pink File PERMIT NO.45 A��NNE5O o 2'. 2.Green City .39(f 3.Yellow Applicant / (Please type or print and sign at bottom) ADDRESS ZONING(office use) 15510 BREEZY POINT RD SE LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER KAREN & DICK STILES #612.749.1615 (Name) (Phone) (Address) 15510 BREEZY POINT RD SE PRIOR LAKE, MN 55372 i APPLICANT #651-633-2561 (Name) Fireside Hearth & Home (Phone) (Address) 2700 Faireview Ave N Roseville, MN 55113 (Contact Person) Leah Loderm_eiier! (Phone) #651-638-3312 APPLICANT SIGNATURE Lerkneier DATE 4/22/15 APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION ❑REPLACEMENT 0 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 DHot Water into Required Side Yard Setbacks. OMechanical ❑Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings ❑Vent. System ❑Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL HHT/SUPREME-I30-C 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 $ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ ANIIDAnk This Application Becomes Your Building Permit When Approved Paid 5aimRel ipt No. • Dat eA �' ir, Building Official Date �t .1.-1. 1S 24 hour notice for all inspections(952)447-9850 I 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 i