Loading...
HomeMy WebLinkAboutMechanical Permit 15. 1110 5 0 1:11. n 000000 = 0 > 20 0 ■ � - 7171-n 0 & 0 $4 00 z § o n r- n 73 73 § E mAam§ � mz 73 § 0� § . � ■ tri r § § � m 13 § o§ Q P Zk / t § r 2 ) m � @ § xi \ 01 7:1 � � " 0 / o �, m m 7 0 r- z X m U % m 2 § o ❑ 00000 Z m m41 x in M TO 3 � � ■ ■ r -a xE § mm_ E m p co % k C i § k > 000C) § � ' m ■ R 0 r -n 0 73 q co .1 z 0 § . .} � / 11 � § m 0 2 ■ 0 - § 7 • 0 2 00710004 3:— ..q B ii- CA22 § § ■ mm ■ o \ z rir, gob § A m -n� _ E @ - - m -4 i 0 _Li V PRIp H CITY OF PRIOR LAKE Date Rec'd ° HEATING/AIR CONDITIONING/FIREPLACE PERMIT q` / 4/, a- Li trl 1.Pink File PERMIT NO. J 5 ) 1 /O I M,NNESo�P 2.Green City �j 3.Yellow Applicant (/ (Please type or print and sign at bottom) ZONING (office use) ADDRESS i 5517 � / �YSC- I 11SL 1J LEGAL DESCRIPTION (office use only) LOT � BLOCK ' ADDITION 4/&---5--5 113&.- „vim,/ 0/,,e_ /P_I/D 2.5--.0(p/" 005-d ti OWNER 0_,i4 el S / I ' ' (Phone) s 2 --k77-99 - (Address) 55f Ill � r / l a IIA 5 ii1 A (Name) ANa* �� # Phone 05- '4 .9 --991XPi (Name) 1. iYl `� `/L �� L ( ) (Address) 71 VASTMMIIIIIA r 1 0' / /U (55-3S��2.:, (Contact Person) u �i � ' / (Phone) el5�� -'�-7�72 APPLICANT SIGNATURE 1 /Ile ' DATE 9/41) /S APPLICA'T PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION 0 REPLACEMENT ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS IN UT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach D G vity ❑Hot Water into Required Side Yard Setbacks. echanical ❑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 , s1'T' .)0 % 111 / _ FEE SCHEI)I Industrial, Commercial & Multi Family 1% of job cost 'esidential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating&A/C (New Construction) $149.50 Rest•- '; , • e:. '• c Alterations $49.50 RP.Slflentic1 Heatin.a C)nly New Construction) $64.50 Residential,AC Only $49.50 The Minnesota Statutes 326B.148 Cost$ Building Permit# "SURCHARGE"has been extended The minimum surcharge for a 4EATING PERMIT FEE $ 9 " ;TATE SURCHARGE $ .00 fixed fee" permit is TOTAL PERMIT FEE $ it ,. -. a V This Application Becomes Your Building Permit When Approved Paid o Receipt N.. 'ri Date By Building Official Date A _ • 24 hour notice for all inspections (952)4,7-9850 / 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372