HomeMy WebLinkAboutMechanical Permit #01-1323
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CITY OF PRIOR LAKE
HEATING/AIR. CONDITIONING/FIREPLACE PERMIT
1. Pink
2. Green
3. Yellow
File
City
Applicant
(Please type or print and sign at bottom)
ADDRESS
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J~
5(,7/
LEGAL DESCRIPTION (office use only) I
LOT!J tlLOCK 3 ADDITION~d 11, ~
OWNER
(Name)
(Address)
5r~PfIG,J ~ ~ /1=J-II'SG~
SevnuL-
(Phone)
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City)
(Contact Person)
~
APPLICANT SIGNATURE -S:~~
-....
(Phone)
DATE
Date Rec'd
PERMIT NO_#!- /3;;),,3
;4,~
~~
ZONING (office use)
Puo
PID..:b'-~- ()3/(J
'J5'~- q~7-~('it(
(Zip Code)
I ~/"h:J Ie;/
. APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
,~,." ~ DVent. System
~PL~~KE AND MODEL
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ . ?]q,r 60
$ .50
$ I-!t/ ( ----.
,
(Office Use Only)
This Application Becomes Your Building Permit When Approved
pai~ 40 /O()
Date J' IJ,,,,\
tl-r7V'C? I
,
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
ReceiPlIbq 'I 0
By q./
V
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED /l,g/(j/ /1 ;cr!J
507/ (~d4Jcko-J
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
j- /3;6
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
AD COMPLAINT
FIREPLACE RI
': ~ FIREPLACE FINAL
[/ ~GASLINE AIR TST
~\D .t:=~
COMMENTS:
o ~ -to CO\) e4'"
~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~:R REINSPECTION BEFORE COVERING
Inspector: ~ \ Own er/Contr:
CALL 447-985-0 FOR TJE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ~E FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI