HomeMy WebLinkAboutMech Permit 05-0454
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
5. ZOo oS-
(Please type or print and si~ at bottom)
ADDRESS
I. Pink File PERMIT NO
2. Green City . 05'. 04- '2::'4-
3. Yellow Applicant =:;14
PID Zb .Dr I . 6Z! 0
(Pho~.5rJ-ol7tJ,. oRE
SEDGWICK HEATINO & AIR COND!T!ONING u.c . (Phone)
891(1 Went\vorth AVE; .)
l~Wciti#~OIl~, IVII'J 004LU (City)
(952) 881-9000 I
(Contact Person) (Phone)
PPLICANTSIGNAT~~A1 Id ~~~ DATE 0--/7~
APPLICANT PLEASE OMPLETE BELOW
DNEW CONSTRUCTION !ia'REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER -
(Name)~
(Address)
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APPLICANT
(Name)
(Address)
TYPE OF SYSTEM
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWann Air Plants
OGravity
o Mechanical
~r Conditioning
Unci OVent. System
r If//iIi/1 MAKE AND MODEL ie-nM X
H.sxE / .5',-~ 4 t)
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Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
24...ro
. .50
ijL>./)b
.tice llse Only)
This Application Becomes Your Building Permit When Approved
Paid 4--0. 0 0
Date &::
::;.2-0.05
Building Official
Date
~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
ZONING (office use)
(Zip Code)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No. 4tl3 (0
BY~$
DATE TIME
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS/,
-~~
SCHEDULED
CONTR.
PERMIT NO.
~- rsY
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
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kRKSA~RY_PR~
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR EINSPECTION BEFORE COVERING
Inspector: .-- Owner/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSftIOTl