HomeMy WebLinkAboutMech Permit 05-0158
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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. ADDRESS
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BLOCK
LEGAL DESCRlynON (office use only)
ADDITION
OWNER
(Name)
(Address)
(Address)
- ",
Date Rec'd
3.,.05
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3. Y cHow Apphcant 0
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ZONING (office use)
PID 2.~ d4'5. OOfJ.D
(Phone) 15;1- 'Itf~ -7J 'I S
(Phone) 2M -797 ~dJ)
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(City) (Zip Code)
(Phone) (//'J- 3:21 -,50 rv
DATE A,,,; ',d<)
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
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APPLICANT /J /' .
(Name) {. /.n#/h~1 C:.::I"J ~l/J
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~ (Address)
(Contact Person) -4~ / ~.:s,('A..AL"S
APPLICANT SIGNATURE ~~~,,/~
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
TYPE OF SYSTEM
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Jfi:Y4/1d tip W;rz.,l tt'llnWtY ;d/tf ta tJ/ld t/tnrn1j 'FEE SCHEDULE
Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
Estimated Cost $
35 c' C;7J
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Building Permit # 05, () ISf)
$
$
$
3'1. So
.50
7'VodU
Paid fo. 00
Date..?, I. 0 ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
$39.50
$39.50
$39.50
Receipt No. ffJ'&Z 2-
BY~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED f!/~k~
, r
ADDRESS /1/.20.5 l (1.. ,,/ y' .,Ie <t)L 4.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
,
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CI)-/-~'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~GASLINE AIR TST
o
COMMENTS:
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~ORKSATISFA~
.-/J ~~RRECT ACTION AND PROCEED
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o CORRECT WORK, c;,.A~ ~?~SPECTION BEFORE COVERING
Inspector: /~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
JNSNOTl