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HomeMy WebLinkAboutMechanical Permit 15. 1212 J / § n oQOQCO x Z o o zn 2 > 0 33 „xi EF- g z -0 i r . � ■ cg §qQ P z IQ t § \ z z § 73 %co 7 j k 0 S z � \ mm § k § k r I c4 13o m k 0 0 • 000000 z mmMCI ■ "t1 � ■ fir 41 X = mm c c 0 —I § o o . M § mx § m 0 r 2 K f C . 74 23- ■ z m E 3, 0 r0 § § % c 0o z r ' m � � � z P m / ° \ x ok n% ] O ❑ DDO ( o R. z » � mn »2 k § qi -§ mm2§ � � ' k mm \_ -4 q m q � ■ r § � i 50 . So a� RID� CITY OF PRIOR LAK Date Rec'd HEATING/AIR CONDITIONING/FIRE • ' _ ' : u flsNES0 I. t j Green Ci PERMIT NO.ls'/�14- z.Green Cir 3. Yellow Applicant (Please type or print and sign at bottom) ADDRES - • ZONING(office use) S(20 1---0 r S& t'rs LEGAL DESCRIPTION(office use only) xi�CLOT LOCK ADDITION ' 1PID ‘776: /v S5---692 -© OWNER • t► (Name) 1k r � 44 19'Lt (Phone)t � ^ ['% ' 45 J (Address) t'Vti'Yt-Ci APPLICANT (Name) (Phone) Standard Heating 84 Air Conditioning (Address) 130 Plymouth Avenue North Minneapolis,MN 5411-3445 (city) (zip coae) 61 Z-g24- mss) SI . (Contact Person) II (Phone) APPLICANT SIGNATURE _ ��__ ILIF - DATE e Ef APPLICAN 4 EASE COMPLETE BELOW C ANEW CONSTRU ION M ' PLACEMENT ❑ALTERATIONS F:�E MAKE AND MODEL 6 - 6...T.& FUEL .eA dr'c, FLUE SIZE RETURN OPENINGS INPUT d-Vj ) OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants PLEASE NOTE: Air Conditioner ❑Steam Units and Fireplaces Cannot Encroach ['Gravity D Hot Water into Required Side Yard Setbacks. mechanical 0 Radiation r Conditioning ❑Special Devices Fireplaces with Box Additions or ['Vent.System 0 Other Devices Cantilevers 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 e Residential,AC Only $49.50 ' S Estimated Cost$ " Building Permit # The Minnesota Statutes*32613.148 HEATING PERMIT FEE $ -J,so "Sl-iRCI IARCi "has been changed I''or one (req i year effective STATE SURCHARGE $ (629-759- July I,2010,until.bine 30,2011. TOTAL PERMIT FEE $ So 5o ,S� The minimum surcharge for a"fixed fcc"permit (Office Use Only) is ,beginning.July 1.2010 f� This Application Becomes Your Building Permit When Approved Paid ti s t) Receipt No.3e *s-- Date , 15- By Building Official Date 10tJ 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372