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HomeMy WebLinkAboutMechanical Permit 11. 0009 — 0 oO n 000000 0 E0 13 n n # 0 ■ �2� -n11 0 § § 5 � § > © 22 2 ' kg2o' c§ m m 0 mo k § ri § § . =it Z �> 2 §] � � % t 21 94 - C. z m k� � � % z§ cz k \ I ch j - \ m F 2 q z E \ 73 / k \ 1410 / 0 / 2 gh . 2 F0 0 000000 'I q § § m Illi nom ® ■ »-0 m > m % \ z ( ° : x\ mx & 13 0 0 E P3 _ o 0 k \ CA § -1 . Z > 0000 _k Z h m _ U k » kk \ cQ. § $ \ § ID / §% z m 2 k 0 pNI ,..,,, 0 m �........ . • . o n ? ' CO 0 a OOOOoe ti z m :0nm0 § 1 ; § / ' In %§§�$ ƒ m005— h n ammri% ti m .<6 » � � e c � - E § qr § PRIO CITY OF PRIOR LAKE Date Rec'd • ,,,0„" ,e HEATING/AIR CONDITIONING/FIREPLACE PERMIT Vi M 4j .�P I.Pink File ,1�" 1NNEso 2.Green cin. PERMIT NO. I V 0 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office u ) 2953 Thria Le. C_,- ,- S W LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (Name)OWNEII��1---7 h 01-.S o n (Phone) el S2-(01- '62"13 • (Address) S' Te-7-c-a Le_ C,L-V s V1/ • APPLICANT� (Name) Yi'b✓1k0 14,44,0, ', 4 L (Phone) 9S 1 -8.35-777-) (Address) -1558 was\k. g- S -el° SSS`I`1 • 1 A ' (Add ess) (City) (Zip Code) (Contact Person) vv 4-0C-Q- -S, / ' (J t-L_ (Phone) APPLICANT SIGNATURE G� CdA DATE 1/12.- [ (0 APP ICANT PLEASE COMPLETE BELOW ANEW CONSTRUCTION .REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL - IgAKt4 Ej OgZD CSO FUEL ej� FLUE SIZE RETURI"OPENINGS INPUT 601000 OUTPUT SC, 000 TYPE OF SYSTEM HEATING OR POWER PLANT • PLEASE NOTE: Air Conditioner DWarm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. `a'Mechanical 0 Radiation Fireplaces with Box Additions or DAir Conditioning 0 Special Devices DVent.System ❑Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. . FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial,Commercial&Multi-Family I%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 $49.50 Estimated Cost$ `I'191 -00 Building Permit # The Minnesota Statutes§326[1.148 HEATING PERMIT FEE $ `1 et.5 0 "SURCHARGE"year has been changed lot one year effective STATE SURCHARGE $ .50 July 1,2010,until June 30,2011. TOTAL PERMIT FEE $ 5`-1.5 0 The minimum surcharge for a"filed fee"permit (Office Use Only) is-SS,beginning July 1.2010 This Application Becomes Your Building Permit When Approved Paid - c 1,Recei o. (fi6S Date/ 3 // B . Buildine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372