HomeMy WebLinkAboutMechanical Permit 13. 0667 JQ
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CITY OF PRIOR LAKE Date Rec'd
01 "19+
- c HEATING/AIR CONDITIONING/FIREPLACE PERMIT 6, „ (.3 3
U
1.Pink File PERMIT NO.
41INNEsc0 2.Green City �Z /_
3.Yellow Applicant J L0 10
(Please type or print and sign at bottom)
ADDRESS 411004-f.) Oima (M t 0 DL& S Ct;40O L ZONING(office use)
15e 55 .i.S4-1- PONT 12-6A.0 SE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) ISt 4:V7 19 (-St ikk. OE LOMO) (Phone) q5Z _Z ei ry-OOs
(Address) q 54 b TOvk1c i. STr1€.ET SE
APPLICANT
(Name) '5C4 22W/ 1 Q (Phone) 4152 -22 ' -005‘f
(Address) 9 54,b TOO€4- Sir - c--r SE
(Contact Person) 11 M 0t,,LOA 0 (Phone) 4 Z- ZZg— 4054
APPLICANT SIGN RE
DATE 6,403
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
0 Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity Water into Required Side Yard Setbacks.
❑Mechanical MIIL°dt
iation Fireplaces with Box Additions or
❑Air Conditioning 0 Special DevicesCantilevers to the Outside of Buildings
.Vent. System 1 Other Devices � dic° W4T 2 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 $49.50
Cost$ a 5�o t b Z 4 Building Permit#
HEATING PERMIT FEE $ C115‘0924 rel A a
STATE SURCHARGE $ 5.00 '
TOTAL PERMIT FEE $ qts(05,2-4 u
This Apon Becomes Your Building Permi Whe Approvedto 0 Paid Sz4Recei t No. 6�G.3�
Date ,
Building Offic1 to 6_ z....4 . /3
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372