HomeMy WebLinkAboutMechanical Permit 15. 1211 ƒ 000 n ❑ OCO ❑ 0 > En
§ \ 0 0 0 0 § zK2oo z m m / �
xi
mrtc co m m o
k m m W m E "E oz z $ q �
/ t � � a mi / qo � Q P zom
-
z -
G 2 0 ] " q 2 0 2
% o 2 q . k z /
n > 0 0 mm
] 2 r § 7 C m
\ z M 0 0 A� $
z m m �, t3: 0000
0 -4 kci0 mrp. mr , (,,,
§ ¥ n
M 2 ? $ _ ■ m x ■ m 0 ■
k / !el \ - ~ a > 000 0 m 0 m
h, _ o Z � rmoo @ o
t 0 a m t Icc z C
0 m � r � � P o
_ ■ _
m
/ §
m 000000
E
R. » 0 >xlmo m
z g t);.
§ > mmz -
• , m , r _
mz z ■
-i � 0
ipRlp
CITY OF PRIOR L 4 O . S� Date Rec'd
HEATING/AIR CONDITIONING/F PLACE FERMI
3.Yellow Applicant PERMIT NO./ ,
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
H./ C-emeNfro.
LEGAL DESCRIPTION(office use only)
LOT BLOCK 2— ADDITION 9 sG � / Fa57---
25- a Y--e),92- 0
OWNE(Name) q 5 Z.k_ (Phone) 6` "1" 'q6 ((---306 1
(Address) S aJvY\ /
APPLICANT
(Name) Standard Heating&Air Conditioning (phone)
130 Plymouth Avenue North
(Address) Minneapolis,MN 55411-3445
aV4-2656 (City) (Zip Code)
(Contact Person) A dra (Phone)
APPLICANT SIGMA Ti DATE r�
APPLICi PLEASE COMPLETE BELOW
DNEW CONSTR IQNEPLAACE, E�N1T 0 ALTERATIONS
FURNACE MAKE AND MODEL [ 1 FUEL G( Icx 27)-5
FLUE SIZE RETURN OP IT GS INPUT Z.0 i Pe° OUTPUT /C9
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
Warm Air Plants s ❑Steam Units and Fireplaces Cannot Encroach
Gravity ' ❑Hot Water into Required Side Yard Setbacks.
0 Mechanical 0 Radiation Fireplaces with Box Additions or
Ai Air Conditioning 0 Special Devices
Vent.System ❑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 Residential,AC Only $49.50
Estimated Cost$ ? S Building Permit #
HEATING PERMIT FEE $ (*Sa
STATE SURCHARGE $ /,.64 -ie—
TOTAL PERMVIIT FEE $ S
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid J� -'I') Receipt No.
Date rl By
Bulldine Official Bate 'LI • ` 1
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372