HomeMy WebLinkAboutMech Permit 05-0806
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ::n ~~:y. I PERMIT NO. OS OaO/' I
3. Yellow ApplIcant . V U'
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ZONING (office use)
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CI/I/;6
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LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
APPLICANT
(Name)
(Address)
BLOCK
PID
(Phone)
161/ 7~7/~Jo;?
City) (Zip Code)
(Phone) 7{;' 3 - 757 "(a){J)-
DATE g ~!~ '05
APPLICANT PLEASE COMPLETE BELOW
(Contact Person)
~ PPLICANT SIGNATURE
ONEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE :J/J::J;;bd /4/71< tu/fbi i();/Jfa';I!/'~r1J ~ofj
I % of job cost Residential, Gas Fireplace $39.50 (#/W.
$39.50 minimum
$99.50 Residential, Additions & Alterations $39.50
$64.50 Residential, AC Only $39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
.lice Use Only)
Estimated Cost $ 1M, c)O
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~4 . t;.v
.- .50
'-1 G) ((51:)
Paid 1-0.00
Date 8. 2Z. Os
This Application Becomes Your Building Permit When Approved
ReceiptNo. HfJ8
By
Building Official
Date
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
ADDRESS
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DATE TIME
SCHEDULED ~~~
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CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
a-- J>~b
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
~ECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMEN~ ~
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WO SATISFACTORY, PROCEED
o ORRECT AND PROCEED
D CORRECTWO~~.;~R'
Inspector: ~ Owner/Contr:
ERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNS/WTl