Loading...
HomeMy WebLinkAboutMechanical Permiot 15. 1016 5 0 O4 n 000000 -0 0 > 20 nn 0 O ■ � � � - � 0 $ o 13-< n n g 00 0 . s = z■V2 § Z m m �o CZ ri mm rn F 0 0 0) Zr § - $ §� 73 % t � & m -_ �0 � Z0 ■ o § > 0 k zq U °m % 0 r z 2 U §X r 0 3 'V 13 % Z 171 z 0 0 4- 000000 m m m m Ems ® * Ei ' o -1 Z 0 nc -IOC Q . $ ■ ■ RIME 'V n @ ■ § § cit m i § > 0000 3 k & rti 0 / § � kcc z r \ z a m r -a "a . o 0 = ..... ■ / j vs -0 . � m �❑ ❑ ❑ 0O / z �J.2xi0 Q � § Rs 0 © "D -am$ .r\ 41 Z hl 0 C� 00 - m 73 -n ■ � F 2 -IZ m � r 0 moo. PRI0 CITY OF PRIOR LAKE r, Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT vtri NNEsoc'' 1.Pink File PERMIT NO. dfl 2.Green City / /v"/ (Please type or print and sign at bottom 3.Yellow Applicant ` ADDRESS 52-1-2-ii CrO5ccfra SfreeZONING(office use) L SE LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) A ro/ Tri Ss (Phone) Address ; Gibssanfira apt r� - �` APPLICANT �l/i C� (Name) (Phone) 992-445—RSR9 (Address) 2026 Colburn DriveJ Shako•ee MN 55379 (Contact Person) 1 _ (Phone) APPLICANT SIGNATURE � I ¢^, 41 DATE O 19'/s-- APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION EPLACEMENT [ALTERATIONS FURNACE MAKE AND MODEL FLUE SIZE RETURN OPENINGS FUEL TYPE OF SYSTEM INPUT OUTPUT HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants 0 Steam ❑Gravity Hot Water Units and Fireplaces Cannot Encroach • echanical Radiation into Required Side Yard Setbacks. • 1r Conditioning 0 Special Devices Fireplaces with Box Additions or Pa ■Vent. System II Other evices Cantilevers to the Outside of Buildings FfftEP`LACE.MAKE AND MODEL /A V. /n``G Require a Building Permit. i-C./ .' WN FEE SCHEDULE 1 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 Residential,Heating Only(New Construction) $64.50 $49.50 Residential,AC Only $49.50 Cost$ Building Permit# HEATING PERMIT FEE $ q.5 STATE SURCHARGE $ ; 0 TOTAL PERMIT FEE $ 144/ This Application Becomes Your Building Permit When Approved Paid 3v,sz) ,,z Re ipt, ovi f j Building Official Date Date 0. 3 I. Er B 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372