HomeMy WebLinkAboutMechanical Permit 13. 0639 0 00 n 000000 7 0 D. z0
n n a 511
F
C) ° 03 -n
m $ ��
E r n 73 X X ■ � § U � $ -4-o
§ j % Cn. m § -0-1 Z§
o z°
1" glIIII40 k o k
o m
a n z m
$ 0 a z 2
il -n 2 1 ■e__
4. GO
z 2 0 § ill 000000
m m mm C11@.s ■ "a
E & o o . nc -loc
§ 2 K ? m . q § ■ Mxi § m 0 \ 0
n �' , , ■ zIz z M z I
§ E m .1 a ® oo o s -I m
n B o r � oo § c
S 2 zcc z
t 2 # m r 1) -0 P . a
2 k q . �� I
▪ c 0 Ot N
. 2 ( - a ' " 000000
• 2 § C � 2 a22 § § N§
R. 0 ® _� � � � � ® ,
\ z y 9 � kk ,- §
tll n a amm � r
q m 72 � . § §
r
r ii -P
CITY OF PRIOR LAKE Date Recli 0 v
4.(14z •5� HEATING/AIR CONDITIONING/FIREPLACE PERMIT /ZE
Viz: ;
``\\\411Thse I.Pink Pile PERMIT NO.
• 2.Green City /�
21
1 3.Yellow Applicant V �v
(Please typ.:or print and sign at bottom)
ADDRESS ZONING(office use)
379-3 Je -P-rr CT-Iv .) R 1
LEGAL DESCRIPTION(office use only) -1. //' '/
LOT/5—BLOCK 3 ADDITION Z3�.' e..VS. £ . AN)A' PID.0757- 3qS- Quo 7
OWNER ' f
(Name) Nei, orb 430...204 f-e- h. til 1. -9t't 'h /lc- (Phone) 9,S"2-. •2L 2 . `'t l`Cs
(Address) or
APPLICANT • f �
(Name) 1(1'14 LD DIA ii 3 t.P.jt i , t r<• (Phone)
(Address) O471-e- —f el a-4-1,-e M lJ 55+3 4
(Ad. -s• (City) (Zip Code)
(Contact Person) 1 bbr--- 1364 (Phone) Ce\1. .21 O , co—14L( / (012.32.ZS.,1.112
. APPLICANT SIGNATU' DATE lQ.21 • 13
_ AP f LICANT PLEA COMPLETE BELOW ,
❑NEW ONSTRUCTION ►i REPLACEMENT ❑ALTERATIONS •
FURNACE MAKE AND MODEL pG,.7 / i• FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT .
�/Waim Air Plants-f��A u ❑Steam PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water
❑Mechanical into Required Side Yard Setbacks.
Radiation
w Fireplaces with Box Additions or
p'Ait Conditioning I ❑Special Devices Cantilevers to the Outside of Buildings
„B'Vi nt.System a V G{ W MeV- 0 Other Devices _ g
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 $49.50
Estimated Cost$ Z-CtSO, 00 Building Permit #
The Minnesota Statutes§3261.148
HEATING PERMIT FEE $ ,co "SI RCl LARGE"has been chanced for one
year effective
STATE SURCHARGE $ .rt0 July 1,2010,until.Inne 30,2011.
• TOTAL PERMIT FEE $ i The minimum surcharge for a"fixed ice"permit
(Office Use Only) is.ti ,beginning July 1.2010
This ApplicationBecomes Your Building Fermi Whe Approved 1. . ..f Receipt No.) 9 3 36
DatlE 21 ( By
i� tvv
uildin. 4 fficial Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372