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HomeMy WebLinkAboutMechanical Permit 16. 0028 O O cz a \ o § 0 OOOCOO 0. rn XI t / g z K11 o o z Z > g © n ? * > =.1 M §k CO= z $ _ 0 2 �Q »o p 0 -I.0 $ / z z ■ > z 3 2 7■ z 717 • \ 2k 2 J J m / @ 2 2 S3 2 § § § OO000O J 3 $� ■��� * M 0 C ZC RIME 2 0 2 ■■§7§ m ■ 0 ' ■ I§ z= z 2 0 0 k RI X22\ \ § 7 fll \ § m 7 / / k \ 3 $ Z § 0. $ 0 ( 1 :>> OOOO • 0> 71 11 0 . ���o§ , \ ■ r §§§® 2 m t;-:11 ��\ � - r; i53 -nzi & Z k PR/04, CITY OF PRIOR LAKE Date Rec'd q HEATING/AIR CONDITIONING/FIREPLACE PERMIT / /c4 !6 j*NE$O� 1.G File PERMIT NO. 2. Green City 3. Yellow Applicant 1(� (Please type or print and sign at bottom) ADDRESS ZONING(office use) l2tp LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID ran:M ( e€r (Phone) lQ(Z 2,(1)61 LQ b (Address) I l 2lQ c/tr-Q-ek Gl V SE APPLICANT �L (Name) P'`1 (Phone) t7S 2:2,4OOH 2- (Address) 7 ipD 1 W Bo 1 1' S 11-e 5 33-7 (Ad ss) (City) (Zip Code) (Contact Person) tI G1 ,14 11 DV\r k L'1 (Phone) &1 2- APPLICANT APPLICANT SIGNATURE � � DATE / I I / 2V (Q APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION IK REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL NM U I ke r E'n I Q./v- C,& o D FUEL Sc S FLUE SIZE RETURN OPENINGS INPUT WI 615-1) OUTPUT 4 , 60 0 TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE: Air Conditioner ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity ,g Hot Water ❑Mechanical ❑Radiation into Required Side Yard Setbacks. ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or ❑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 $49.50 Estimated Cost$ 5CO. Building Permit # HEATING PERMIT FEE $ S. STATE SURCHARGE $ 1.00 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid 57) Receipt No. 393 Date (G, By pc__ Building Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372