HomeMy WebLinkAboutMech Permit 06-0105
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:n ~~~, I PERMIT NOYJ / - / /} C-I
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ADDRESS ' ZONING (office use)
C-oVt- {We, sF;
LEGAL DESCRIPTION (office use only)
LOT c/5' BLOCK ADDITION
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OWNER YJ h
(Name) ~ Il[ K-/4 f.,.j tn--&v
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(Address) J W lq Lf- (If.) \/-e /J,AJe s ~4
APPLIC~T I d. YJ I J I
(Name) ,~u.,vO~ vi Ve HeCL..,..! no J 1-r/~ (Phone) g/;;~ -K1-Lr- (Jl}12L:;
(Address) ,~Ll51 u) fblAA'ns vfflc Pk-W'I 8IAYn<;vIJJ~ 5S337
- . (Address) J (City) (Zip Code)
(Contact Person) -.&fil (Phone) q5;? -R1Lf - tJl)ZJS
APPLICANT SIGNATURE ~ tJi ~<'O)r) DATE ~) 13}o'7.P
(Phone) Q.5 ~ - 4- 41 ~ l~ 67L
APPLICANT PLEAS.J COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT 0 AL TERA TIONS
. FURNACE MAKE AND MODEL Len n tJL. (:;) ~ Lm..PVc.~L:,c, -{yqO FUEL
-
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
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 #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~q. !S6
. I ..50
'-to < DU
)2!!ice Use Only)
is Application Becomes Your Building Permit When Approved
Paid . .___-
2../.) ----
I {
Date J. "'/0' &
Building Official
Date
~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39,50
$39.50
$39,50
Rece~_~59
Be
'7l
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1-/7qL(
COve
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
o MECH FINAL
COMMENTS:
----
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----==----- ----
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DATE TIME
~ --4,1:11.
Iiw
f'n - (0'5'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~K~R REINSPECTION BEFORE COVERING
Inspector: V ( 1/ Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!