HomeMy WebLinkAboutMechanical Permit 15. 0691 J
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ot PR% CITY OF PRIOR LAKE Date Ree'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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40,..solt- i.,,,Ak He PERMIT NO. /A.... e
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(Please type or print and sign at bottom) 3 I
ADDRESS ZONING(office use)
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LEGAL DESCRIPTION(office use only)
LOT S—BLOCK / •
ADDITION 574ae (. .v-A,, /„.,b4D "357;307. Zs-7:-o
(Name) •-• /-. //971- 7 ie74?---4:7 ., . _(phono. ....,/..?-c•_,‘ i'e le.:7''' ff°71J,'..-
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Address . At I
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(ANPriPinLeI)C... .. al. _ 4".......0 /#12 --3404 * (Phone)6 5/-cv-f.70P7-427.47.3 7
(Address)t' ,0 ' ,. ,Irlir .,_57-.7-.. e.)2 /*Al
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(Contact Person) 4/.......i57.": 'w 4: Al. (Phone) 5.7.:-__...P277-2___A-37
AFPIJCA NT SIGNATURE Me_ DATE
APPLICANT PLEASE COMPLETE BELOW
D NEW CONSTRUCTION REPLACEMENT El A LIERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
D Warm Air Plants DSteam Units and Fireplaces cannot Encroach
§EiGravity Oliot Water into Required Side Yard Setbacks.
Meelinnieul pRadiation Fireplaces with Box Additions or
Air Conditioning OSpecial Devices cantilevers to the Outside of Buildings
Vent. System Doth er Devices Require a Building permit,
,
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial,Commercial&Multi Family I%ofjoh cost Residential,(las 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 PERI4rr FEE $....4-r5.
STATE SURCHARGE
TOTAL,PERMIT FEE $ 5-4-
This Application Becomes Your Blinding Permit When Approved45 1 Receipt o. - -). /(3t.
— Dat r, a e"--- By
Building Official Date
!
24 hour notlee for all Inspections(952)447-9850 1
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 .