HomeMy WebLinkAboutMechanical Permit 15. 1017 17 J
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CCITY OF PRIOR LAKE C�� Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
1.Pink File PERMIT NO
2.Green City / .. /O/�
(Please type or print and sign at bottom) 3.Yellow Applicant < I
ADDRESS
3913 y►��y� hQ U n__ _/ ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) V1.144/ yAarGLS$
nr (Phone) 99-L1L15= 6509(Address) 3913 mow SPIIpe, MV 55r9
APPLICANT
(Name) Ron I G Mechanical, Inc. (Phone) 952-445-8585
(Address) S • Colburn Drive Shakopee, MN 55379
(Contact Person) Linda (Phone)
APPLICANT SIGNATURE �e� ,, •A 0 DATE O -i c"
APPLICANT PLEA E COMPLETE BELOW
❑NEW CONSTRUCTION { EPLACEMENT ['ALTERATIONS FURNACE MAKE AND MODEL l nox L'LC Q U fi �
aV 3(eG FUEL /vc�
FLUE SIZE RETURN OPENINGS INPUT CDC OUTPUT$(p,400
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Warm Air Plants PLEASE NOTE:Air Conditioner
❑Steam Units and Fireplaces Cannot Encroach
['Gravity El Hot Water
❑Mechanical into Required Side Yard Setbacks.
❑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
FEE SCHEDULE
Industrial, Commercial&Multi Family 1%of job cost Residential, Gas Fireplace $49.50
Residential,Heating&A/C $49.50 minimum
(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 $ ;.00
TOTAL PERMIT FEE $ 7JK.=i7
This Application Becomes Your Building Permit When Approved Paid
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Building Official Date Date &- 3 (S 1�
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24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372