HomeMy WebLinkAboutMech Permit 05-0228
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
\2-.rz..05
~. =. ~:~. I PERMIT NO. 05. () 2 2 D
3. Vellow Apphcant D
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APPLICANT ~. , II II "- L C. L J.L Mt2.-
(Name) JI (V /!. \ { LV- e 0- ~ 0 y } FIT / JOI'" (Phone) -P 5"" p- &2IJ ,-IJ 7~
(Address) '2 ~,{'(J UJI JjIUd j~l3tlfjASPIJ~~f}lj1J ~ ~~3~~,')
(Address) ~ ( ) (~ .
(Contact Person) JJ. t I- . \. ,1 " ,1 (Phone) $,) - 7."J1; - .7"714/
APPLICANT SIGNATURE ~~y- _~IJQ.J,h~' DATE ~ - !12:tt.l~
V '
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
OWarm Air Plants 0 Steam PLEASE NOTE:
OGravity 0 Hot Water Air Conditioner Units
o Mechanical 0 Radiation Cannot Encroach into
OAir Conditioning 0 Special Devices Required Side Yard
OVent. System Q.\.LO..<J V'rJ- - R' 0 Other Devices Setbacks
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FEE SCHEDULE ~U1!~
I % of job cost Residential, Gas Fireplace $39.50
$39.50 minimum
$99.50
$64,50
(Please type or Drint and si~ at bottom)
ADDRESS
J~'-I3~ b;", S~ 0_ ~
LEGAL DESCRlt' lION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.39. .5V
.50
'to. (/V
'lice Use Only)
fhis Application Becomes Your Building Permit When Approved
P~
Date
12-;12-.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)
PID
OUTPUT
$39.50
o $39;'" ~
o?~o
1)" 1f.J1€~~ I
R~._.::--
By iJflIL-
r
DATE
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IS1j~ ~S y'/(~ ~,
/
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
[J FOOTING
[J 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:
TillE
s-- -Z.2JY
[J EXIGRADIFILLING
[J COMPLAINT
~EPLACE RI
~REPLACE FINAL
o GASLlNE AIR TST
[J
~ /7
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. ..fWORK SATISFACTORY, PROCEED
/ci'-~ORRECT ACTION AND PROCEED
o CORRECT WORK, CA
j .I
o~
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI