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HomeMy WebLinkAboutMechanical Permit 15. 1114 n oo000O 0 > 1C) g OO O ■ � s�mo 0 § k m� n n k kk m E�� of Z w �� § ° q 2co Z v 2011© 20 ifi n n ®. . - V 2 2 . ■ % ® § .. ® $ , i S� } 0 0 !' it, m M Di o �- z 7 0 > z i 4.4.110 • % ■ r o _ 0X00000 \ m _ oo v ... a� � *3 � A § rn m 0c2k0& n ® k 0a l - m§ 77p3§ q 0 p . % z 73 � % $ 0 �P r\ 0O 0 •7 2 q } § ` i � � P o k z 5 ! 11 § # m \ M A 1 .% %■ 21 000fl OCO s -1 E > zzOc m : -°• • r-n7�\ (\7\ 2 hi kE m R in o - R!'9 CITY OF PRIOR LAKE Date Recd 0, ,iCONDITIONING/FIREPLACE PERMIT s l � � HEATING/AIR q� / ,/,‘ , - , --,4,k- NNEs 2 PinkGreen FCitley PERMIT NO. 1-', 11) 3. Yellow Applicant (Please tae or print and sign at bottom) AnDizE ss ZONING(office use) = 5 I 16039 Northwood Rd NW LEGAL DESCRIPTION(office use only) J ' 0 LOT ( l LOCK ADDITION /VOA: ` / PID 2S-_ OWNER (Phone) (612)718 2869 (Name)_ Jill Hooper (Addresc) i f;.0:39 Nnitnuy:,pd Rd^!W APPLICANTPhone) 763-783-4545 (Name) Erickson Plumbing Heating Air Electrical Blaine 55449 (Address) 1471 92nd Lane NE (City) (Zip Code) (Address) Stacy (Phone) 763-783-4545 (Contact Person) 9/09/15 1 DATE APPLICANT SIGNATURE _Awl; -,� — — APPLICANT PLEASE COMPLETE BENT LOW TERATIOIvs NEW CONSTRUCTION In _ FUEL Natural gas FURNACE MAKE AND MODEL Carrier 59MN7A080V17 80,000 OUTPUT FLUE SIZE 2" RETURN OPENINGS INPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner 0 Steam Units and Fireplaces Cannot Encroach ['Warm Air Plants 0 Hot Water into Required Side Yard Setbacks. ['Gravity ID Mechanical 0 Radiation Fireplaces with Box Additions or ®Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings ❑Vent.System 0 Other Devices Require a Building Permit. _J FIREPLACE MAKE AND MODEL FEE SCHEDULE J $49.50 1%of job cost Residential,Gas Fireplace Industrial,Commercial&Multi-Family $49.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,AC Only $49.50 Residential,Heating Only(New Construction) $64.50 Estimated Cost$ 9,298 Building Permit # HEATING PERMIT FEE $ 49.50 STATE SURCHARGE $ 1.00 TOTAL PERMIT FEE $ 50.50 (Office Use Only) i This Application Becomes Your Building Permit When Approved Paid r V Receipt No. �r IP. Date R.Z\‘ Lc. By Building Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372