HomeMy WebLinkAboutMechanical Permit 09.0058 5 00 0 n 000000 1 0 > E0
2 g g mak C::) E m/=819_00. m $ m °g
% r m E §'2gz 0 m §.0
/ % t § . .. • k�� � zm
z o�
„ j \ ii 2 \ . zo
_ 0 m
% 0 » ƒ 2 f r;!""'
§ 73 r '
r 0
11 13 ■
2 § § 000000
C
m § RI' amm *mm
§ K o o § n«c
$ o % ? m -n � 2xi§ 0 m
Ca
= m
` n § ` §
dU kkk % o
z c - c
% 2 CDrqc n m P
m
/ = 0 r),
0
- -771
m _
o n
0 . � ' �' 000000
§ E. B . 2 �� § � k
R. 0 ' ornmco p rn
0 Ch. 0) t_ › MM42
§ � ��� � 2
mz m
�r §
o� PR!0 CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd90z-i
Z. 2 s.
�jN1VES��P
I.Pink File
�, 2 Zion City PERMIT NO i G�,aos',
' ; Ik and Si y at bottom 3.Yellow Applicant
N34-11 I/4' ZONING(office use)
Ci'Cc-/t` CC-c�
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION
PID
OWNER-TD.,
(Name) / A. s
(Phone) --�IYG -(o?��
(Address) /7 fl -,cc.,-,i r a C,,,,C.. St..,_,
,-,,e,,,,,,,
APPL,'-,ICANT L,
er_rei] �` *lone) _-,Y2-1 �5�
g-,/'+''''',"..':',.)
3 �,. Il
(Address) GY
(n.s, (City) (Zip Code)
.,� (Phone) 5771'`$slis a�S
ro
J ` APPLICANT PLEAS_ COMPLETE BELOW
ONEW CONSTRUCTION =ri PLACEMENT
' FURNACE 4 AND MODEL ❑ALTERATIONS
�"_+'�� FUEL
RETURN OPENINGS INPUT
TYPE OF SYSTEM OUTPUT
HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants
0 Steam
Units and Fireplaces Cannot Encroach
❑Gravity
0 Hot Water
into Required Side Yard Setbacks.
0 Mechanical
0 Radiation
DAir Conditioning 0 Special Devices Fire laces with Box Additions or
[Went.System P
0 Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Industrial,Commercial&Multi-FamilY 1/o o FEE SCHEDULE
of job cost Residential,Gas Fireplace
Residential,Heating&A/C $49.50 minimum $49.50
(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 #
HEATING PERMIT FEE $_______IL
STATE SURCHARGE $ .50
(Office Use Only) TOTAL PERMIT FEE $____-1.731�G , Vl
This Application Becomes Your Building Permit When Approved Paid !n,
v V Rece in
c t No. S 724_0
Buildine Official Date By
Date 2,2 _u
AM.
24 hour notice for all inspections(952)447-9850,fax(952)447-42 5
OF
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372