HomeMy WebLinkAboutAir Conditioning Permit 13. 0719 0 Q f-
2 Z _Z H
H JCL tLa'
w _ 02ww�,, qq
0 1`� wU L L iri. 0 cv ` • J Z
❑ ❑❑❑CAk w rY
0 .L ----
a
U 0
w O
re =
O `t
0 p aaQ W L Z O
J Z » Z m
0 0 a a oo�.� z
W L z ( 000�Q
V 0 W Z = LL U c W j o Ix u) 0 G. gxwg2x w 6 z 3
S � � „ = j 0 Q 4W co IX
a 25 u) a2 �I ww ww w x r
0000 0 0 00 O Z C4 Z
QC
C4 x O w Q
3 a a LL I
>: o
ce Z Q O W
Y U iY Z .. 40 o Z w
J H (-$ 0 0 0 Y .°
O
CC z �- O 0 W I— < t: QI vi
Fe- p 0 ~ o p a Z F' W
a� N Z Z z W v 0 0 1:4 u. v) t= z 2 -1 - W W W
U W Q W re re L J A 2 cc ix O z 0 0 � u) Z �-
C95 0 y, 0 LLLLLL.Z 3 v U a v V
V? < 0 a 0 0000❑ 0 '❑ ❑ c
i
r Rtp CITY OF PRIOR LAKE Date Rec'd
O+
REATING /AIR CONDITIONING/FIREPL PERMIT
diJMvS
EO�� 1 * F PERMIT NO
'`` NO.
3 . City /3 - 7/,
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
W E
45 b'i ra Ire •
1
LEGAL DESCRIPTION (office use only)
LOT � BLOCK CCZ ADDITION K N q t L1..3 °'' 14-0110 PID aS 3y 9 0130
(Name) � a o v \ . C h r marykrau..I - (Phone) q$0- 7SD /OI
(Address) �9S�q
Address l ) 1 �✓�l.trl b � r I ��l `t ��
7
APPLICANT. --- /� /� -7 / 3�.
.3
(Name) 10 j 1 L Df'lAC (Phone) 103 �3V38 !
(Address) 000 Wi n of 1` J lit �l�U - 1Q) �l.�LC ,Di ` �/ / 5
--1---t (A t ) ( ty) /Z (Zip
(Contact Person) 1 ( -� It At (Phone) �(q3 ''3 F3 O G S 1 0 •
APPLICANT SIGNATURE /Pi/ i X -- DATE ( a 4 .
f► .
APPLIC •. T PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ig2 REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity ,(p�� ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical "1 Iv�vC ❑ Radiation
Air Conditioning 3.0-T00 ❑ Special Devices Fireplaces with Bog Additions or
eat. System ❑ Other Devices
Cantilevers to the Outside of Buildings
A 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
Estimated Cost $ c)..51)0, ` Building Permit #
The 1v €innesota Statutes *' 32613.148
HEATING PERMIT FEE $
y7 5 O "SURCHARGE" has been changed for one
vim, year effective
I
STATE SURCHARGE $ s July 1, 2010. until June 30.2011.
J
TOTAL PERMIT FEE $ The minimum surcharge for a "lined fee" permit
(Office Use Only) is 5 beginning July 1.2010
This Application Becomes Your Building Permit When Approved Paid /y t Receipt No.
T -)v
L &■ 6 3
Date rr 3 By i
Building Official Date f ' //j
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372