HomeMy WebLinkAboutMech Permit 05-0434
P.01/01
Date Rec:'d
S.2.5.05
(Please twe or lJrint and sim'l a.t bottom)
ADDRESS
5tfq5 f1f'PP/L.f /Jrw_ _)f,
:. ~~. I PERMIT NO. 05. 04-3+
011_ """IIG1ftI ~.
ZONING (olft~ U,E)
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LEGAL DESCRu' .llON (office ~se only) 1
LOT 1~BLOCK8 ADDITlON (-)~(/jL1e- f-~ iP
PIP 25. 02.1. 0:31. 0
OWNERC;vnrl f'nh~( ..
~ame)~ I~~'
. (AddreSS)S'1rfJ 6vpok) uicit Sf,
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LL1LJLLf (Address)
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(Phone)
(Phone) lb15'1z- 1/66
GJdttv I/fIllttt /tIrI ssyz;;-
I (cttL . (Zip Code)
(Phone) JQ1-,'~/ I.iJd
DATE 5.1/1/D5
APPLICAm" 1/ n
(Name)-+-! WY r/
(Address) W
(Contact Person)
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APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION ~ REPLACEMENT 0 ALTERATIONS J
FURNACE MAKE AND MODEL 1M)!) PA' / jg IX v.p 0 XV } /' I f FUEL ~ fA- ~
FLUE SIZE . RElURN OPENINGS, INPUT ~ n D fl OUTPUT 1S,~~ n
TYPE OF SYSTEM HEATING OR POWER PLANT
...f
OWarm Air Plants
o Gravity
.~ Mechanical
.1IAir Conditioning
JVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
l-LEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
fIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Comme,eill.l &. Multi-Family 1 % of job cost Rcsidentia 1, Gas Fireplltce
$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 $ J 13 S 1. ~ Building Permit # ()60 4"--34-
$39.50
~
$39.50
'.
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$~q, ~
$ .. .50
$ 'fJJ . '.!- '
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--
.hiS' Applfeation Becomes Your .BuUding Permit When Approved
buildIng Otria.'
D.te
Paid .fO. VV
Date 5". Z J. 0 .;-
Receipt No. #3/4-
BY~
/ TOTAL P.01
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
SY'S- &Ot'~.S
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
~..-&CH FINAL
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DATE
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TIME
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ v,,,r( SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR INSPECTION BEFORE COVERING
Inspector: _
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!