HomeMy WebLinkAboutMech Permit 05-0778
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
OWNER rYJ J,. v1,
(Name) ,. (K /J./ //1 0 Y'Jjt1n
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APPLICANT .A ^ I , 1: At J ,-
(Name) rf {P25l"UA'./ f1 eO l' A "t"ftO WlP ~
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(Address)
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Please tvve or print and si~ at bottom)
ADDRESS
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(J ./tlLP - ,4 (/ I} YJ LA (J~
LEGAL DESCRu' 110N (office use only)
LOT
BLOCK
ADDITION
(Address)
(Address)
(Contact Person)
PPLICANT SIGNATURE
Date Rec'd
8. /2,05
~. ~~n ~:~ PERMIT NO. 05. 07"7d
3. Yellow Applicont 1l-1'
ZONING (office use)
PID
(Phone) gSd.- -- 4/0 - t#. i~ J
(Phone) ~- ?~- ??0J
SQJJq-~01 JJ/)JI. '5fzf:-lZB
(Phone) QS)"- 7~- 7JIf,l
DATE I!-UCk}/lJ),. rJh
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HEATING OR POWER PLANT
o Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation Cannot Encroach into
o Special Devices Required Side Yard
o Other Devices Setbacks
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FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Alice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$39.50
Residential, Additions & Alterations
Residential, AC Only
Building Permit # 0 S, C/7 7 r
$39.50
$39.50
$
$
$
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,L" _.50
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Paid .A r
cro. C/O
Date 7./ z.. t ~
Receipt No. 4-'la~3
Byd. .
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/?777 4//#-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
_Aj~!:
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( /
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
/O//~
r t'
s-- ? 7?'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
~PLACE FINAL
o GASLlNE AIR TST
o
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~ORK SATIS~PROCEED
/d--~ORRECT ACTION AND PROCEED
o CORRECT ~OJ!.y)j-?R REINSPECTION BEFORE COVERING
Inspector: .I ~ i Owner/Contr:
V
CALL 447~9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
d"7 / TIME
oa~~
~e.,
SCHEDULED
ADDRESS
/?777 ~~
OWNER
CONTR.
PHONE NO.
as:.7?r
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
o EXIGRADlFllLlNG
o COMPLAINT
~EPLACE RI
o FIREPLACE FINAL
~L1NE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
~RECT ACTION AND PROCEED
'0 CORRECT WORKj c;;,;!7 REINSPECTION BEFORE COVERING
Inspector: /p/-" Owner/Contr:
W I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
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