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HomeMy WebLinkAboutHeating Permit 11-0984 y ❑ . C) 0 000❑❑ = O D E -o 0 0 0 CN ?I - TTT (D p n o 0 0 0 3 m D C > c O Z m m m 0 b D o 73 73 x 3 r 373-1 z - N - * r 4 m n N Z y D Z 0 N 0 • t - IM) -I m O 5o 73 xi n O z 2 ro !�. N z z ` o • • c ''-'1i671 �, n O • 0 x 1 z t, 0 r Z z ` 1. mm r v 2 T U re. \ teZ O n O n ��� l'\ m m m m 1 E 3 'vN *3 v O z v o 0 c -I 0 c r }. )' p N x 3 m mx3 c y m F m T W x m x = m 0 0 2 CZ C m 0 >0o0 0 C - m b 0 o Z r ❑ 99 22 1 p C zcc z r o m II ,- � v P v O • z T • A 0 • 0 m m m 00000 0 j - E z >��0 1 R. D 0 Nmm30 0 r13 �-o ' � 0 D mm -I 2 - E m r 0 ; RI CITY OF PRIOR LAKE Date Rec'd I L :b HEATING /AIR CONDITIONING /FIREPLACE PERMIT PC NnNESV� I. Pink File / 2. Green City PERMIT NO. / L// �) � U - 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS _ ZONING (office use) .'). 9) \ S (31 + - S LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER ?u (Name) C I f c V� T' �i�' & 1 `' � A 1 1 (Phone) r cc�- �` J 1 (Address) V ' 4 ` e r , c — q' (J 1.) '3 t. APPLICANT A I �-' \\ p 1 \ (Name) �`\ .r--1 .) r (Phone) L. ( c i d - " , k1" b 1 i (Address) `V ( q 0 \c-1 ).0' IN L. 6 1 k.).. c4._ i , r •31 ,3, (Address) (City) (Zip Code) R (Contact Person) , �W � j h t ' 1 k ty k (Phone) 1 A � — 1 j DA APPLICANT SIGNATU LA \I V DATE e \ 3 -- 1 1 APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION 'REPLACEMENT ❑ ALTERATIONS --_ FURNACE MAKE AND MODEL ) C.t •�) c N �AV �� ©1 % o FUEL dv ( VT ' FLUE SIZE RETURN OPENINGS INPUT `\ (M OUTPUT Q1 TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner -Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravit ❑ Hot Water into Required Side Yard Setbacks. ['Mechanical ❑ Radiation ❑Air Conditioning ❑ Special Devices Fireplaces with Box Additions or ['Vent. System ❑ 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 i nc iviinnesota statutes 9 .52.01:S. 146 Dst $ p 1 Building Permit # "SURCHARGE" has been changed for one year effective '1 Ci V July 1, 2010, until June 30, 2011. [EATING PERMIT FEE $ The minimum surcharge for a "fixed fee" permit TATE SURCHARGE $ S TO is S5, beginning July 1, 2010 OTAL PERMIT FEE $ SU1 St' This Application Becomes Your Building Permit When Approved Paid S —, L Relt No.6 Wo 9 Date Z.Z.--- if • /' Building Official Date i 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372