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HomeMy WebLinkAboutMechanical Permit 12. 0456 5 0 i n0 0 ■ O � 20222 X 0 0 K0 k c kZ0V) Q Z A 73 2/ ili r- XI o � rt c 2222 Cl, q� § t '` 2 $ �oqQ P o■ ro m § o z p C co �� .Ti q z §■ S i 2 q z 7 % o a , 0 `:¥ m q r o . x km m / / I � O ❑ OOOO Q 2 z 0 § mr �t0r $ 2 ? m cn 2m0ilk. 2 n '- § k■7373k m 0 0 n A § > c o 0 3 - m -I o z r' 'n o k z m ( r -o-o z ` m r. 0 � ` 0 m ' M. 51 o ll 0 . z m a OCOCO % > § > V. 0§ N K 2 Tom -0o ` ns q 0 t m �� ; § c . q A �t2mzm ■ , ■ pp- -I at z ■ Z -ir. ® (iiiR, CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT �''MvEso�t' 2.1.YeP;nk /2y ... PERMIT NO. llo Cpp /1 ¢i,J�f/ (Please type or print and sign at bottom) 3.Yellow a fieant ADDRESS ZONING(office use) —7 /� LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER r—^ (Name) / I Yr) TeM4 hl (Phone) (Address) APPLICANT /.4,A'- vv- Q fi/7 gel D (Name) P�0r /.4 FA'- /4l5 // (Phone) 75 II(Address) r i A sa t Y., .• 4— S3 7 (Address) (City) (Zip Code) (Contact Person) Z A jY (Phone) APPLICANT SIGNATURE DATE „,,TL---0/1::„- 2442 APPLICANT PLEASE COMPLETE BELOW ONEW CONSTRUCTION ❑REPLACEMENT 0 ALTERATIONS FURNAND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE: Air Conditioner eam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. ❑Mechanical ❑Radiation Y6' Conditioning 0 Special Devices Fireplaces with Box Additions or Cantilevers to the Outside of Buildings ill Vent.System ❑Other Devices 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 $49.50 E'-"--`-a Cost$ BuildingPermit # The Minnesota Statutes§326B.148 "SURCHARGE"has been extended until June 30,2013, HEATING PERMIT FEE $ The minimum surcharge for a STATE SURCHARGE $ .50 "fixed fee”permit is$5.00 TOTAL PERMIT FEE $ I This Application Becomes Your Building Permit When Approved Paid 5-i .s---0 Rece.. ) o. / S— r`7 /� Building Official Date Date.,.� . Z ,, /22 C>7 y 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372