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HomeMy WebLinkAboutMechanical Permit 13. 0383 - 0 0 0 000000 ° 0 > 20 § n o \\ 2 j _ kk k kk m/ M O\ © 0 0 0 q z ��§ 0 z $ � - u t q q a 2§ ®o >o P z- pp 2� 0 2 -4 0 z 2 2 Q m .. 0 2 o v - t 71 0 > 0 0 A m r k \ c: c § § ® CI 2 0 0 000000 > q q m q m r ® > © r 2 K o o §c 11 § §/ 0/ m 2 /1 W .= § 71 %§ m 0 4 0 ^I 53 m § 0 > o 0 _ 2 § m 'a 0 0 0 � � r m00 2 P o m cc z r 0 B m ° r 0 § / alli; a � & 0 % § 0 § k 7) 73 § R. Z; ® �I §-73i §® \ ); 7- 0 ° § ��� § 4 iti CITY OF PRIOR LAKE �. Date Rec'd 0 ti e HEATING /AIR CONDITIONING /FIREPLACE PERMIT 4., '' v x I�'NEso 1. Pink File 2. Green City PERMIT NO. j p? 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) k 7 (OY2 5 L t Lai' LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER Il W c i4 ( Phot a r Lf . 7 `- iriso (Address) , 6 ( 7 � -) ffIO( (11, ✓ ✓ 0 APPLICANT (Name) Rons mechanical Inc (Phone) 952 - 445 -8585 (Address) 12010 Old Brick yard Road Shakopee MN 55379 (Address) (City) (Zip Code) (Contact Person) Linda i 952-445-8585 nda _ (Phone) APPLICANT SIGNATURE &YY V OAQt- DATE 5-(a t3 APPLICANT PLEAS) COMPLETE BELOW ❑NEW CONSTRUCTION MREPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL CZ( Ii Ockl ` i I" FUEL N FLUE SIZE RETURN OPENINGS INPUT (Qn,oc 0 OUTPUT Ul. . TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ['Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation ❑ Air Conditioning ❑ Special Devices Fireplaces with Box Additions or ['Vent. System III 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 The Minnesota Statutes § 326B.148 "SURCHARGE" has been extended ost $ Building Permit # until June 30, 2013, The minimum surcharge for a IEATING PERMIT FEE $ "fixed fee" permit is $5.00 O STATE SURCHARGE $ . .50 f OTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid T t Receipt No. . . — Date . / 7 //3 By i Buildine Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372