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HomeMy WebLinkAboutMechanical Permit 15. 0866 E O ❑ n 000000 4 0 > E 2 0 § K . 0 ®§§§ oo k -., o / 71 mm ■ r ; § k � z k �o� q q » 2 • _o� Q P 2� 2 % * > s co 0 z z z o C CO 2 0 . - z 0 ■ \ it x. > 0 cm 3'-1m m ■ r §7 / z q O q 000000 tim m ■ ii 0 ■ s -0 §-1§ ° 0-4 n nc E 2 ? m ■ _ 2 @ m , XE m § . 0 @ E m q § § 0§ § 3 -4 } m 4. kgi §_ § � > cc - z r % r � � E 0m ■ 0 O ■ o 0§ Pm coOCO . 22 ,.,_ q t.... _..0 ■ z > 0? , K R. t © A. Cmmmo © \ t i r ; ; ; § 4 � { _ dam § / . 9 ma :41 Ili PI -1r Q 0---Al\--{9-- � CITY OF PRIOR LAKE Date Rec'd c.) , CONDITIONING/FIREPLACE ;)'E HEATING/AIRPERMIT drf*i.E s° Pink FilCit I PERMIT NO45. �y/1. 2. Green City �.J CJ`s (Please type or 0 1 3. Yellow Applicant yp print and sign at bottom) ADDRESS `,�.,,��,_� n` ' 57 k'�.s »-ci Ne- 'v i !Y l�� ZONING(office use) fir.C � LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PIDZ- b OWNER ,, f (Name) V ‘(:::-Tc, k � <. (Phone) (Address) 5111)0 rch(AC(A if )\)" APPLICANT \\ (Name) - \vY\\(\ \-\ cth 45 1 CC) d 1 Y b. (Phone) L951 —405 - ,3'53 (Address) '1?)4.3 2 —ben mart: Avf 4 �/� (Address) � �����r � �7���2-3 (City) (Zip Code) (Contact Person) \ A(A.VAIV) � ,j t�)��� �� (Phone) �1 Z-3CO� '6 J1 APPLICANT SIGNATURE A 5L 41 k �'!s�''eA4A. DATE `//:t9 15 APPLICANT PLEASE COMPLETE BELOW ONEW CONSTRUCTION REPLACEMENT O ALTERATIONS FURNACE MAKE AND MODEL Csav-r y^ 5S-317\01 0 FUEL 9c,,s FLUE SIZE RETURN OPENINGS INPUT .7C; K OUTPUT 56 k TYPE OF SYSTEM HEATING OR POWER PLANT W.0 Warm Air PlantsPLEASE NOTE: Air Conditioner 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water 0 Mechanical into Required Side Yard Setbacks. ❑Radiation q DAir Conditioning 0 Special Devices Fireplaces with Box Additions or 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 $49.50 minimum Residential,Heating&NC(New Construction) $149.50 Residential,Additions&Alterations Residential,Heating Only(New Construction) $64.50 $49.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ 1.00 (Office Use Only) TOTAL PERMIT FEE $ This ! i.,t'i t e ,f Yo r Building Permit When Approved Paidp. Receipt No (- 'i '4 i / I ding Official Date f -- Date ,-7,./... ..) By or 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372