HomeMy WebLinkAboutMechanical Permit 15. 1026 JJQ
us
�� J 2F- ~
F [ ' J re W
� ZWWQ Z ,.
L ° g55 = >
W� i � gIL LLI Q'd' N Z < W
c i ( wou.tio W Z
t_, 1 ..
rt 1,1
6" 0 o
W =
css
W O aa < m 6 0 04
• L Z Y Y Z , z C V 4
S 0 Q {L J
W �C
U O w Z _ Z Z Z Z U c d
mILZZmW , d Z D.
y3 iNn U a PL.III; Irli w w Z x a
0
W0 W0 W
0000 ❑ ❑ Z oZ O _
.� a a a
I-
\
, pJ
0 ill
WV 0 0 W
Y Z Z COg i= 0 V O
0 °
re Z r:
Otwy
I
Q O0W t/ !,-z)
H W a� X0a Z <Yv v
(1) wco Z gJ2 w ce c aq
11. WW W � W
O W 001 " t
! 00
U V
0 0 a.GZ = u. .. LL.ZIIV1 O
5Z Q 0 n. 000000 C) 0 E
/ 1
4 rRtp CITY OF PRIOR LAKE v Date Recd
,.(":4;,::
� ;, v HEATING/AIR CON 1 ' I
.. rtik , /FIREPLACE PERMIT
v _x;. , to
�Irt'NESoo 540 • CC) I. Pink File
i 2.Green City PERMIT NO.is—,
r /U-, /_
, ...s
j 3. Yellow Applicant y 1�,�'
(Please type or rift and sign at bottom)
ADORES ZONING(office use)
...._
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) ( r I / , ' L., (Phone( 3-7 O — 66. -(c:.
(Address) 8 en-,c,,,A.,„..),,
,.s" -
APPLICANT APPLICANT
(Name)
Standard-Heatilig&Air Conditioning (Phone)
(Address) 130 Plymouth Avenue North
Minneapolis,MN 5541 t-3445
612-824 t r) t (City) (Zip Code)
(Contact Person) Ailh a I / (Phone)
APPLICANT SIGNATURE 1,4111011r i Ir ` ' 4
nar
APPLICANT PLE. COMPLETE BELOW
[]NEW CONsCTION REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL L��CCC���CCC (v Cyn C FUEL ( ef3
ET\
FLUE SIZE RETURN O INGS l INPUT UTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
Warm Air Plants PLEASE NOTE: Air Conditioner
Gravi ❑Steam Units and Fireplaces Cannot Encroach
ty ❑Hot Water
into Required Side Yard Setbacks.
❑Mechanical El Radiation
DAir Conditioning ❑Special Devices Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
DVent.System [-:3 Other Devices
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial,Commercial&Multi-Family I%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 $49.50
Estimated Cost$ 7 Building Permit #
il
The Minnesota Statutes*32613.148
HEATING PERMIT FEE $ ! 'So "St R(I IAR(i} has been changed for one
year effective
STATE SURCHARGE $ . R V 3111)• 1,2010,unIi1 Stine 30,2011.
TOTAL PERMIT FEE $ The minimum surcharge for a"fixed fee"permit
(Office Use Only) isf.,bminning July 1.2010
This Application Becomes Your Building Permit When Approved Paid e—y\ ,-`N Re ipt No.?.:_L(1
Date
Building Official Date £ t•,,IrS ,
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372