HomeMy WebLinkAboutMechanical Permit 04-0119
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-05
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(Please ~ or orint and sim at bottom)
ADDRESS
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Date Rec'd
::3. S. of-
~:~ I PERMIT NO'/l..of 0 Ilq I
N Apphcant v.,-..
I ZO~(Officeuse)
LEGAL DESCRIPTION (office use only)
LOT l/ BLOC~ ADDITION r/JJ:j~ /)('Juv / sr
OWNER -f '- f' f) 1
(Name) ~ ~ l'1 hI" fN' i) U e DlIA ;y-
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(Address) . )/\1'("1-.1' /...- () f./.(), /11711/.
APPLICANT . A
(Name)_f-' " ('~.... I{JL e.
PID 25, b1:J. cu. D
(phone) 95~lio -I C}'f'J J.
S5:$'7.2
ilea-riA Y-l/flWItU (Phone) 95~-8-f}t1-1J75f!
BurY! ,'1(1,'/I~) /Ill//. 553??
(City) (Zip Code)
(Phone) 95~- nO- 0758-
DATE /J1 {)//'e A s-fA.. 1Jq-
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(Address) \../
(Contact Person) ~i-. 6> ,~Ii z..e f Hi /Ii "
APPLICANTSIGNAT~RE OfA/;~~1L 1I~~
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Address)
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWann Air Plants 0 Steam PLEASE NOTE:
DGravity 0 Hot Water Air Conditioner Units
o Mechanical 0 Radiation Cannot Encroach into
OAir Conditioning 0 Special Devices _ Required Side Yard
OVent. System 0 Other Devices Setbacks
FIREPLACEMAKEANDMODEL YI'!CJi -nJ~c-l() In~j: f7J;tJIIJ (1.C!S../nrl'Y'l
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FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
ffice Use Only)
fhis Application Becomes Your Building Permit When Approved
Building Official
Date
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$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
BuildingPermit # 04-,0//9
$ 3 9. b"'7:>
$ .50
$ +O,VV
Paid #. cJl)
D~..5. 0 1-
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~ J
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ~~S--
.
"'k r/; Cy
CONTR.
PERMIT NO.
ot/-//9
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING ANAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
~REPLACE FINAL
o GASLlNE AIR TST
o
COMMEI:4TS:
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je('Wo~~~Y. PR~EED .-J
/ b CORRECT ACTION AND Pl'lOCt:t:u
o CORRECT WO~~;L.F?INSPECTlON BEFORE COVERING
Inspector: /" ~ OwnerlContr:
--
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
....."