HomeMy WebLinkAboutMechanical Permit 15. 1405 5 CI
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04 PR/04, CITY OF PRIOR LAKE
11
L HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Recd
til
11/ e /5--
!YNEsolP 1.Pink File 1 PERMIT NO.
2.Green City '/ e
(Please type or print and sign at bottom) 3.Yellow Applicant / s'
ADDRESS
5i} Croarrjr Wrw - sZONING(office use)
(� d
LEGAL DESCRIPTION(office use only)
LOT t7 BLOCI3 ADDITION /ot X-47, / /AJID
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grner CKct 4l - Clavi. _ p c�
if ,,, t (Phone) q z-2� 23 [
(Address) 5-341-
APPLICANT 1- Cit � IJ4 t,,1��'Q c9iT»n�
APPLICANT 1
(Name) Ron's Mechanical, Inc. (Phone) 952-445-8585
(Address) 2026 Colburn nri vP Shakopee, MN 55379
(Contact Person) Lin (Phone)
APPLICANT SIGNATURE lealitat DATE I f IO-1'f
APPLICANT PLEASE COMPLETE BELOW
['NEW CONSTRUCTION IIEPLACEMENT 1❑ALTERATIONS
FURNACE MAKE AND MODEL TY4Q vt 123/0/4.63ti 3 to n FUEL
FLUE SIZE RETURN OPENINGS INPUT
OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Warm Air Plants PLEASE NOTE:Air Conditioner
❑Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water
into Required Side Yard Setbacks.
❑ echanical
❑Radiation Fire
Air Conditioning 0 Special Devices places with Box Additions or
Cantilevers to the Outside of Buildings
❑Vent. System ❑Other Devices
FIREPLACE MAKE AND MODEL Require a Building Permit.
FEE SCHEDULE
Industrial,Commercial&Multi Family 1% of job cost Residential,Gas Fireplace $49.50
Residential,Heating&A/C $49.50 minimum
(New Construction) $149.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50
Residential,AC Only $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $ Lig-SID
STATE SURCHARGE $ 5g5i3
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid 51) ��,
c/� Receipt No34/3/
Building Official Date Date 1 1 f ` 1 g /5 By c -- s............./v
24 hour notice for all inspections (952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372