HomeMy WebLinkAboutMechanical Permit 12. 0584 closed 10/30/13 000000 o > zn
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A,,° r RIO, ' CITY OF PRIOR LAKE Date Rec'd
H HEATING/AIR CONDITIONING/FIREPLACE PERMIT 6, /Z /Z
tt
'fjlvivEso° 2.teen File PERMIT NO. 7 Jam])
3.Yellow Applicant /�+ �`�'
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
1 4VP * ireEi2cS P L.-
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PH)
OWNER
(Name) (Phone)
(Address)
APPLICANT r+--
(Name) __... .....&...r_.— I (Pho - q52 447 (21'
(Address) I 'It ' f<<. a • 52�
A V 1 t(Addres-s) i�� ) (Zip Code)
A
(Contact Person) t V —. 1.:� 111w
APPLICANT SI 4. _ " ��/�— f"��_���_ DATE 7i 12..
APPLICANT PL , ' COMPLETE BELOW
❑NEW CONSTRUCTION is REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
arm Air PlantsPLEASE NOTE: Air Conditioner
0 Steam Units and Fireplaces Cannot Encroach
Gravity 0 Hot Water
into Required Side Yard Setbacks.
In Mechanical 0 Radiation
it Conditioning 0 Special Devices Fireplaces with Box Additions or
Vent.System 0 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 $49.50 •
r " Cost$ Building Permit #
The Minnesota Statutes§326B.148 ',•
"SURCHARGE"has been extended HEATING PERMIT FEE $
until June 30,2013, STATE SURCHARGE $ .50
The minimum surcharge for a TOTAL PERMIT FEE $
"fixed fee"permit is$5.00
This Application Becomes Your Building Permit When Approved Paid 4_ „Di) Receipt No.6)&C'
Date 1Z.. ,12— Bj..
Building Official Date V
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372