Loading...
HomeMy WebLinkAboutMechanical Permit 10.0549-Closed 10/20/13 v r Q.�PRx4 , CITY 01?PRIOR LAKE Date Ree'd M ATINGI CONDITIONING/FIREPLACE PERMIT } j � Z3. /O LI , ' 4/01,1asd1'. i' c;,, PERMIT NO./0 ��." 3.Yellow Appliawt 'I I • (Please type Orprint and sips`at[fOttOIIIl " �`. .extr.... r e_<),. 7D4 , , 4.02:7' • LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) ,g- '5,-‘7',d ' ,_,../ . c,,,, /...,..?„/,2,..../...5-0-7 / 7/37- �%5:z (Address)/Y0 2c ///%7 y 2 7c C.',-e /e-, �r-mss- /c"•e /3".55 -?,Z (Name) ----) ‘D--r7 /?'` �� %v.77,d''f :1 ..:.e;77-'4.2C-(PhOne) '1. '.2--. �yC=.1.-33 S2` (Address) ‘/,2 /21. /.�-tip c2/C�4—,, -T2,c)/_..in /" iU 3_5'.1 (Address) (City) (Zip Code) (Contact Person) /^o/ - 4 /' ce- -e/- (Phone) 9.5 - 5'5-......2_ -3,-- 9' APPLICANT SIGNATURE , ``-, DATE ,4:„...//:...,..1„,............„../..„//c.) APPLICANT PLEASE COMPLETE BELOW [ANEW CONSTRUCTION� ,REPLACEMENT 0 ALTERATIONS � FURNACE MAKE AND MODEL a,,,v,- e Git'S SG z-'4X FUEL ,vl6- FLUE SIZE .e, RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM _ HEATING.OR POWER PLANT PLEASE NOTE: Mr Conditioner [Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach []Gravity ' • D Hot Water into Required Side Yard Setbacks. F4 Mechanical 0 Radiation Fireplaces with Box Additions or ■ ' Conditioning 0 Special Devices OVent.System ❑Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial,Commercial&Multi-Family l%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 $49.50 Estimated Cost$ c-7'?i Q Building Permit # HEATING PERMIT FEE $ 7 5-6 STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ 57 00 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid 5-0, c-3 R = •t No. U.J t Date/ :11,i Radium Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372