HomeMy WebLinkAboutMechanical Permit 15. 1204 F 0 O* n 000000 13 o > ■ 0
CI C \ 0 0 0 0 �kckkk z m 73 m\
CI ° 33 73 m m m � � � § � z m XP gel
� -0
% t -I -4 > Z v §®§ Q P 0k
10 ® ■ . n z z■
P. ■ 0 0
> o z mm
% 0 r § 7 0 .
7373 R 0
❑ 00000
o \ z § 0 - m � � * 3 � %�
nc � n �
ch
z ■ m ■ ■ -v o ■
§ { cn
m i zzzzz0 0 m -i m
/ 0 r- 2 § § 73 - es '* 0
0@ $ m - 1- -a -o P PI` m
/ 0
I
z Z
M
0
0
; DDDDD
- c
2 § . 022 § . §
o , ■ mm ■ o -
E -v -v - m
Z � � � � o
j A § TIX � F 2
l -i 0 m
c>2°I 5-, (161-1 - .---1 1-5-:()r 5°
o.oR I��.
CITY OF PRIOR LAKE -, Date Recd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT /,
NBSY
1. Pink File
2. Green City PERMIT NO. /..5 i /20
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
l (.0 I r 1:(1d a Kt --1-f& \ SE R ;
LEGAL DESCRIPTION(office use only) �i
LOT t7 BLOCK ADDITION /91/1a). /e. --706)X-1--) PID �S0 i�aO �v
(N mOe R ) t o if e s l(_..-cc n e ( \ G`� I- (Phone) l�O� l l- i�}US
(Address) 1 SSC O I g( �`' ` , a ice I-( e t \ SE
APPLICANT
(Name) G_,,,,,z_ _,,,Q„..i a.� (Phone) q TO – 760 7—i C o&
(Address) (;DOC) 1---(A) 14 13 t-- -D13Aerisvi((-cA1 V (7_-_,S33-7
(Address (City) / (Zip Code)
(Contact Person) i4C3 if ! V Va.�� (Phone) 9 97( 7— /J V/
APPLICANT SIGNATURE ' R. -- DATE 9 /5—
APPLICANT PLEASE COMPLETE BELOW
A-C ❑NEW CONSTRUCTION 'kEPLACEMENT 9 ALTERATIONS
SCE MAKE AND MODEL beiAno X" iq AcX 0 a -I - '3O FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
Air Plants ❑Steam Units and Fireplaces Cannot Encroach
Gravity
0 Hot Water into Required Side Yard Setbacks.
❑Mechanical 9 Radiation
'Air Conditioning 0 Special Devices Fireplaces with Box Additions or
❑Vent.System 0 Other DevicesCantilevers to the Outside of Buildings
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&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Estimated Cost$ L/ /y Building Permit #
HEATING PERMIT FEE $ 4- ,'s-d
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ CjO s SO
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 60g Receipt No. ..340 5c,
,
Date i By
Building Official Date t 0 r?j • S
24 hour notice for all inspections(952)447-9850 ')
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372