HomeMy WebLinkAboutMechanical Permit 11.0287-VFW - 0 0 0 C) 000000 0 0 > k" 0
§ n k \ \ / CDC MkkkEk / $ 0 se�/
0 F g r p7 . r ■2� @ -�
§ r 0 0 ■ m K -R2 p 0 8�
\ >00 2�§ � \k
C q 0 a
® o n . B 0 E
\ 0 / / k
r o 3
X -n 13 13
0 UN
o
z �` \ k OOOOOO
? \ k 00 §§ � * g§
? ® _ ■ m}■ -0 o & @
k M G \ , > 000 0 _k k k
` \ / 0 r2kk 73 \ /
\ { \i71 °
_ X ��
0 m
m § 0 _ • N
■ m 000000
q -- 2 `$]]§2 \ \ k
® � . ® P
� §�9Q � . �
% k Cfr . �kk�0
q0Fl > mm��
a>z Z- §
»
r
0. PRI CITY OF PRIOR LAKE C /Si f4/-
` Cae Recd
O
�� HEATING/AIR CONDITIONING/FIREPLACE PERMIT
g
INNEsdl: I.Pink File PERMIT NO. e� p
2.Green City (1_ / S{ 1
3.Yellow Applicant t V(� .
(Please type or print and sign at bottom)
ADDRESS ZONING(office use) .
j(73O(0 ,a ) frvc_
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER - A-Ct.
/(Name) w /OY -C V f l9 (Phone)
(Address)/63Z- "174 e A) C_ !✓/ GY L£k //v • 5537 .
APPLICANT ^ / — V7-Jo
2' Jo Y
(Name) _ _ ! •hone) /`-J 1 J
(Address) 7 4/e2 /%J c - ✓�'I0 / � is ' 4x,13Y/
(Address) (City) (Zip Code)
(Contact Person) Le_-- .' / A 4 hone) 9-g>90-767e.
APPLICANT SIGNATURE ���/'/ DATE WeWh/
APPLICANT PLEg COMPLETE BELOW
['NEW CONSTRUCTION PLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL JCC.. J b,-✓ L_ FUEL � f
FLUE SIZE RETURN OPENINGS INPUT ;506190OUTPU,T[0 20...c&
TYPE OF SYSTEM 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.
❑ , echanical 0 Radiation
la
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 $49.50
Cost$ (S)( Building Permit #
The Minnesota Statutes§326B.148
"SURCHARGE"has been changed for one HEATING PERMIT FEE $
year effective STATE SURCHARGE $ -39July 1,2010,until June 30,2011.
The minimum surcharge for a"fixed fee"permit TOTAL PERMIT FEE $ 31c—'.-64r)
is$5,beginning July 1,2010
is Applicaf comes Your Building Permit When Approved Paid(1lt 1/4,\,1/4,\, Receipt No. L '1
.
0�-'l_Z6-t'' � 3\c
Q [Buildin¢Official Date Date �6 /`^25 _`CBy �
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372