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HomeMy WebLinkAboutMechanical Permit 13. 0042 I O O n o 0 O0000O 0 > § n O © ° o O _■ � - � � � o -2 � % r k k _XI _k�k�co m 2 �� rn .110 14 . -1 --I -, � r\1k� § cn �� ! ■ ■ q ■ � � i m a ®LI 0 0 2 2 §2 b z / / k k M m 4. k ~ o 13 13 z . m 0 R / x m / 000000 2 0 0 , $ \ ? m I OS -40� � n z ■ m ■ ■ J . . �7■■_� � m o Z % � 0 2 a Ion§ § 3 § \ ^ > 2c z 0 z 2 . • �� § m 2 0 J tit « / cl m @ / 7 ' OOOCO � R. Ilk � / t « r 'VII � ° ni q �� �. m > mm4 �. . . � -133 / 23 r:k f k • I 04 V121•0 CITY OF PRIOR LAKE Date Recd ,,.,41;', IC rbc-. HEATING/AIR CONDITIONING/FIREPLACE PERMIT 3 ....„.„ 4,„„„EsO,,t. ,1.P nk Pile Green city I PERMIT NO./3 4 2 I (Please 3.Yellow Applicant T type or print and sign at bottom) ADDRESS ZONING(office 050) 36-0% i I I O t.J f eAC -TR. seAD , LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) DP ,dn "—Ti-^11.0 n S e-11.30 • (Phone) 9 s 'g30 -$OL,$' (Address) 54 IX E , , APPLICANT (Name) S'°"A'S.- (Phone) • (Address) 3S/2.. w:l/ a J. 7 Z. Sc,,,, , 17-P41a. Lac I. j, M/ Ss" (City) (Zip Code) (Contact Person) Sd.n f_ (Phone) 9 S P - S 30 — $O Z,s-- APPLICANT SIGNATURE Q___-7" DATE /21 APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS • FURNACE MAKE AND MODEL L.bihex FUEL FLUE SIZE ''I�� RETURN OPENINGS INPUT OUTPUT oee TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE: Air Conditioner ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water ❑Mechanical into Required Side Yard Setbacks. ❑Radiation 4 ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or [Went.System ❑Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial,Commercial&Multi-Family I%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 $49.50 Estimated Cost$ Building Permit # The Minnesota Statutes§32613.148 Sl.1RC11ARCif;"has been changed lot one HEATING PERMIT FEE $ 49, year effective STATE SURCHARGE $ a -- Jul 1,2010.until June 30,2011. TOTAL PERMIT FEE $ . so The minimum surcharge for a"fixed fee"permi , t (Office Use Only) is 85,beginning July 1.2910 This Application Becomes Your Building Permit When Approved Paid6-0 p � �!Re t No. -7 e/- 7 1 Date � Building Official Date /. I/ . /3 • 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372