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HomeMy WebLinkAboutMechanical Permit 13. 0517 \ / 0 0 0@ 0 000000 1 0 0> -n r) n oo 0 225E -n 0 $ 0 $4 k r- R 22 7 ® � E kq § �k Z k \ § - z 0 k ® K 0 �� ® a 2 4. 1 � d m o o §. ] . q 2 0 § �� a .��> 0 2 n \ > o mm 7 -4 ,i . X © m m m (5 x \ - I § Cr RI / § § ® t m § II. k z • - ) rn = -0 0 cn ■ , m 3- m o ' 0 \§ m •g > 000 0 3 m % § 2 s I r m22 pa P E z $ m p r cc z r / V . 2 ~� X . m ,. 0 . t fil a m 1 k 000000 '4 z m ,, v 0 k§k ' \ Z A > �� � - © ,>mm m m� ®r� -1 0 Z ■ -I r ‘ 6 rRlp CITY OF PRIOR LAKE Date Rec'd ° , HEATING /AIR CONDITIONING /FIREPLACE PERMIT diiN I. Pink File PERMIT NO . , 2 2. Green City / 3. Yellow Applicant �J (Please type or print and sign at bottom) ADDRESS ZONING (office use) I L P . t 1 2 CkACA G \ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OW ER k A '\ Y les (Phone) (Address) um $ _ j .: Lf � � �� O� 4 c:57 1 1 ,�,,' (1 1 i ' APPLIC k (Name)) r \l� 1�'�lM1' kt • N Ca CO • (Phone) �]/ ) - /-177 - 33a_ llD� ^- (Address) 1 �O Ire 31 ILz i e , \ 1 L Is C . V N. ! 3 (Address) (City) (Zip CO (Contact Person) (� 1 C. 1 A (Phone) cal APPLICANT SIGNAT RE_ -Ai.&4.� r Af i / /-1-4 DATE /A APPLICANT COMPLETE BELOW DNEW CONSTRUCTION PLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL \ r L L • $ • A 1. V FUEL GC& FLUE SIZE RETURN OPENINGS INPUT (.cc ��l J OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Wa>m Air Plants PLEASE NOTE: Air Conditioner ❑ Steam Units and Fireplaces Cannot Encroach ❑v>.ty echanical ❑ Hot Water into Required Side Yard Setbacks. pdM ❑ Radiation ❑Air Conditioning ❑ Special Devices Fireplaces with Box Additions or ['Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. 1 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 $ (;2%01% CO Building Permit # The Minnesota Statutes § 32613.148 HEATING PERMIT FEE $ 4q . "SURCHARGE" has been changed I'or one year effective STATE SURCHARGE $ .50 July 1, 2010, until June 30.2011. TOTAL PERMIT FEE $ n, n0 The minimum surcharge fora "fixed fee" permit (Office Use Only) is ; ti, beginning Jul 1.2010 This Application Becomes Your Building Permit When Approved Paid u 1 U Receipt No. 9/-x3 ___ Date // 2 By Building Official Date Q X 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372