HomeMy WebLinkAboutMechanical Permit 15. 1155 CD J H
W Z1 P.X J x u. ui 0
V V < Z
1k' al O a •,
� U' 'j. WW � ` l
11 g
CO
• � 000001:3W
`f; ❑ ❑ ❑ ❑ ❑ o U)
0 11 o
W x
J oN
..0 I �' w L Z
Ili A;I
ZYYZ \ /� Z 0
o F 4
oH x 0 8 -J r 0 0 0 P 41 OG
x L Z x z Z XX _Z Z� W c tll �„
N + 0 d O0rt 2WxmIL x 0. Z ac
w WW z K k.
? w < � w � �� - w
a23wa r v v v x z
00000* -1 + Oa' Oa' p Z IIC
i I-
it
>: 13 rilIX
x Z Q p IQ
IL AI
/
Y U %it Z -
Oi= lo � Q O
• `
ti
ZZ Z vN• 4) 1i� ' 0N
Z
O o F-
1
� � aW < v ' I
� u
) z5 re z ° a x < W t V
O a WuJ OUU. N O w O O
G u. U. IL V 0 1.qiiaa , �(
0 0 ❑ ❑ D ❑ ❑ ❑ 0 /`❑ 0 c
°1PRI�4
e CITY OF PRIOR LAKE Date Rec'd
rq HEATING/AIR CONDITIONING/FIREPLACE PERMIT
SOS
2: Gr en City PERMIT NO. I3
3. Yellow Applicant /✓t�l✓
(Please type or print and sign at bottom)
ADDRESS
ZONING(office use)
(1) �� HcodooLk\c bead() J\E. Push
LEGAL DESCRIPTION(office use only)
LOT 8 BLOCK / ADDITION /4/74,1,0,e,. 6-- pc. AMIN PID 2-5"243 ' 668 O
OWNER , I '^_]_ �j I '
(Name) �.A l,oNyi X-V 1 C� V l I (Phone) `.'I sz.-`] 5 k
(Address) U2,JS(p A\ckr cW l ,s� it( k NE. t`'r�Q lr Lc 1e NW V ! TZ
APPLICANT
(Name) tUNNSVILLh r1EAl INb 6,NC, INC. (Phone)
(Address) 3451 W.Burnsville Parkway
tr (City) (Zip Code)
Burnsville,MN 55337
(Contact Person) (9 2)894-0005 /� (Phone)
APPLICANT SIGNATURE " ` / ,0' DATE qI -J
„.._
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION REPLACEMENT El ALTERATIONS
FURNACE MAKE AND MODEL-WAY) \ KVC I 0 05-(1, FUEL 11 CA. -.
FLUE SIZE RETURN OPENINGS INPUT _i_Cenala_ OUTPUT SSV 1 ()OCA
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Warm Air Plants ❑Steam PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
Gravity ❑Hot Water into Required Side Yard Setbacks.
Mechanical q
❑Radiation
it Conditioning ❑Special Devices Fireplaces with Box Additions or
❑Vent. System 0 Other Devices Cantilevers to the Outside of Buildings
�� ` Require a Building Permit.
F-laCrIL-AGE MAKE AND MODEL M���n OX I�TC03I® 2 - y-)
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) $64.50nn Residential,AC Only $49.50
Estimated Cost$ $g o l...d.OC Building Permit #
HEATING PERMIT FEE $ LJq.Z
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ 1:3L)•' )
(Office Use Only) n
This Application Becomes Your Building Permit When Approved Paid 6b cb Receipt No. '�(J� 1
� v
DateBy
Building Official Date ���L(".
cciy'
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372