Loading...
HomeMy WebLinkAboutMechanical Permit 09.1000 5 0 0 0 0 000000 'o 0 > E 2 c a 0 0 00 � �z-noo. o 2 o m . b r PI 3r mrCMZ-1 z y �-n to r 0 0 N M S z o z to 11 -1 -t a �� Z 'n 0_1 0 •O z 73 C i o N -ni z Z LJS O 'U d ° o x o o • z hi O > z O mm Xi il r vz r ^ = V, mX 0 0 ZCD 000000 'r1 X m m m E *a 0 m 17 L. -4 "'c me N N N o v =3 m S 3 i 0 c0i� m S.' . .n ?7� � � G� m p 0 y ho m 6 6 DmO0 G0i _3 -- m m - o z ~ r '' 00 73 p C 0 0 a w ►� /'� ncc z r- 6,2 z i ►�+� C V r 'v-v O m A = m c n °will d. m m § • rD.. 000000 J rt' o 0 /11Ct � mm3t� ,C m z 71 -1Z m (cVR' CITY OF PRIOR LAKE (k/Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT V .11"rN1VEso° 1.PGreen City nk File 2. Green I PERMIT NO. I CX.1 (Please type or print and sign at bottom) 3.Yellow Applicant —!� ADDRESS S 3` Cr ZONING(office use) sv�-d- 1 P v o-r" 1e, 14AI S-s-...37Z LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (e_e_l 1) (Name) JF F- E I,/ ri .L +C Sf2....v(). (Phone) t L 7Z-3 6 age, (Address)— aim P _ APPLICANT (Name) ^ S 0.-1AA.c (Phone) (Address) — 5 CA-u& - — (Address) (City) (Zip Code) (Contact Person) s a �,,� (Phone) C��,a-i./APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW [NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants PLEASE NOTE: Air Conditioner OGravi O Steam �' ❑Hot Water Units and Fireplaces Cannot Encroach into Required Side Yard Setbacks. ❑Mechanical 0 Radiation ['Air Conditioning O Special Devices Fireplaces with Box Additions or ['Vent.System 0 Other Devices Cantilevers to the Outside of Buildings FIREPLACE MAKE AND MODEL Coa. Require a Building Permit. FEE SCHEDULE Industrial,Commercial&Multi-Famil Y 1%of job cost Residential,Gas Fireplace $49.50 Residential,Heating&A/C $49.50 minimum (New Construction) $149.50 Residential,Additions&Alterations Residential,Heating Only(New Construction) $64.50 $49.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit # 6,45 Lfn.e-/`2 HEATING PERMIT FEE $ Al., T v'r'60 25-es:i STATE SURCHARGE $ .50 (Office Use Only) TOTAL PERMIT FEE $ O-— This Appit ,n . • t I1 • our Building Perm' W n Approved Paid / / g © '4 Receipt No.69Z70:u.. �¢ : /Z 4- Date By Dae �Z A Aok 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372