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HomeMy WebLinkAboutMechanical Permit 12. 1137 © zk ._.-- 1) u §\ ■_ §v2 � kz Q0.§§ z 0. a. (I) > \ 0s �@ � § tUO ee O: § - § 000000 ,� ` ' > v N o R Lu _ . � Us. ° � \ co as co z tu cq n a 0 � ' ii / e § § a -I 0 0 § w I- ■ C OOC < § k 1.11. § 0 & § e3%§� a. j z t::, k ■ • o a §§�§=0 0 0 z e o % _1 LU § W ,. L § 000000CI) . § O 2 cc o.ct IL 0 C3 a 0 < 0 �0 . 4 z zz \ 0 0 NI / % o I ° § ui - @ I % E� 2k2\ � � § § c k u_5. w LU z 0o ■ Z . § § a Q o ©ui C4 z 00122@E M 3 0 0 1-3 Q. $ 0 U.U. o r a 2 0 1000000 0 0 0 0 _ (zre? �, CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT v`�I1, 1x 'lrvNEsoo ;.Pink File GePERMIT NO. jj J.Yellow Applicant / -//,37 (Please type or print and sign at bottom) ` ADDRESS ZONING(office use) 3aa ► L6004 OcktiE C`/ ✓e 10A) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER c h C (Name) -John d- 0 eeuDJ rb at us (Phone) cost 6 b,5. _�!G�( Address "�J APPLICANT (1 (Name) �O^�–� L S Q� � (Phone) �_ 10 3 33 (Address) 'LOW Wkt I1i\.0Q N't `Jt" . f D �S � (Ad ress) (City) (Zip Code) (Contact Person)-7C _ (Phone) 7l0 3.', , I APPLICANT SIGNATU'. Ak ,Pr DATE r'7.'LI'ANT PLEASE COMPLETE BELOW ONEW CONSTRUCTION REPLACEMENT 0 ALTERATIONS� L /� FURNACE MAKE AND MODEL �1T1`m -t /FUEL I v lt/ V a.5 FLUE SIZE RETURN OPENINGS INPUT 9 1400Q OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE: Air Conditioner ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity echam'cal D Hot Water into Required Side Yard Setbacks. ❑Radiation Fireplaces with Box Additions or ,�ir Conditioning ❑Special Devices p [Went.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 $49.50 Estimated Cost$ (000n-c542)Building Permit # �{ The Minnesota Statutes`32613.148 HEATING PERMIT FEE $ -6"©�� St-iRCI lAR(:i;e haes been changed for one STATE SURCHARGE $ year anti: June �,� July 1,2t3I0,until June 30,2011. TOTAL PERMIT FEE $ 3'q S 0 The minimum surcharge for a"fixed fee"permit (Office Use Only) is S,5,beginning July I.2010 This Application Becomes Your Building Permit When Approved Paid —I/ Receipt No. 72 Date By / 77 Building Official Date 9/21//2'"— ,.L 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372