HomeMy WebLinkAboutMech Permit 05-0151
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CITY OF PRIOR LAKE
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HEATING/AIR CONDITIONlNG/~1KEPLACE PERMIT
Date Rec'd
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L Pink
2. Green
3. Yellow
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Applicant J ..) . ' I~ I
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ZONING (office use)
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APPLICANT r (II fill
(Name) 'r' , y (J<, I r (J H PO V 1 ") ~ ff n tyJ fJ. (Phone) 9_1];) - /?9 {J- (J 7 L;-!?
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(Address)' . I' (City) (Zip Code)
(Contact Person) 1/ I + r?,. 1/12 () v- . /Vl ~ _. (Phone) 9'1~- r9fl,... 0 ?<~
APPLICANTSIGNATU~ 0 /~~,.,,~O ~Y)t' DA~ ='/-;f,v1Stl. 'o~-- .
C) APPLICANT PLEASE1COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL I FUEL ';'
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TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants 0 ~Steam PLEASE NOTE:
OGraYity 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
FIREPLACE MAKE AND MODEL _H I' <Of ~ - ~(J--G1.., IMr;J e i, , (J/!) ~ P tJ.s 'fr c !Ll~ ~ i ;PJ'I t.J.
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
(Please type or print and siJt1l at b~~~_)
ADDRESS
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LEGAL DESCRIPTION (office use only)
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BLOCK
ADDITION
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OWNER
(Name)
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(Address)
(Address)
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FLUE SIZE
RETURN OPENINGS
INPUT
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Industrial, Commercial & Multi-Family
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residenti~l, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit # 0:- . ( I ~ I
REA TING PERMIT FEE
STATE SURCHARGE
C TOTAL PERMIT FEE
'ice Use Only) .
""';hiS Application Becomes Your Building Permit When Appr~ved
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Building Official Date I
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$
$
$
,50
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Paid
f'u, (.I"
Date
. "2. ;> J", ,(-
Receipt No. &/ f f 18
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avende, Prior Lake, MN 55372
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By , / / / ,7
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DA. TE TIME
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ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJr-- /,,3 'Y.
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
D MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
~IREPLACE RI
~EPLACE FINAL
o GASLINE AIR TST
o
COMMEtAS: /' ./ / /
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AWORK TISFA~ORYI PROCEED
o CORRECT A D PROCEED
:.::CT WORK, CAL~NS::=FORE COVEmNG
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTI