HomeMy WebLinkAboutMechanical Permit 15. 0690 n 000000 0 � -
O O 0 ; ism2o il % li �2
� § ■
$ 0 0 0 m » c §o m m § m
0 0 0 _ erc$g ■ F. -0
g p k mm 2 � o� Q BE
% rt 94 ® FA 2 6 §73
0, t - . z
it, ~ >
I
.73 g (D Q
R 0
000000 0
. ■ ■ r
�
m -,
Zg gi 0 0 ` }i B il 70. Y 5 m o g
2 ® ■ ' - 73e ■ z x
) CI z ? r ' f• §7§ Q s §
CI a 9 ( r - 20 ■ 2 c
\ 0g 0 i $i 0 §
0 2 m _
\ k $
k8 000000 I ,
$ m ›7373 §§ Z.
■ mmmE0
2 0 ri;;;K
i _.mm�/ 2
tm 0 -I r m
§ m -4i §
CITY OF PRIOR LAKE Date Rec'd
�� PRro� ZZ
HEATING/AIR CONDITIONING/FIREPLACE PERMI ✓ �. _ 5
U t:f
1.Pink File PERMIT NO. /5 �®
4tINNEsoCP 2.Green City
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
I-fi�'3 q Col oc- o ‘..,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OE
(Name)R—DoNC— C 4-'c. (Phone)
(Address)
(Name) AN �K �_1 L a-[t[L1?.11/0
(Name) 'ITN b c- c Ll-� (Phone)
(Address) 1 �S$zi ? 101 C 1 rao t< C--k-, 'Dri o r 44.A. ihW .S"-&37
(Contact Person) c... A Tw.e.m, (Phone)
APPLICANT SIGNATU' : ,_, ,i/ ' - ,1 DATE Gr•--. ...-/&'-`
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION eTitEPLACEMENT ' 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
,TenWarm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water into Required Side Yard Setbacks.
❑Mechanical 0 Radiation Fireplaces with Box Additions or
.reit Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
0 Vent. System 0 Other Devices 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 $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $ ,5?)
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $ .01. 2)
This Application Becomes Your Building Permit When Approved Paid 5451) Receipt No. MOO--
DateC?, 2.2_,, IS BySti_______,
Building Official Date
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372