HomeMy WebLinkAboutMech Permit 05-0850
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
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3. Yellow Applicant ~ . ;::;;::x../
(Please tv1le or print and siJUl at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
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APPLICANT~. J ~ Jv1 _ J.
(Name) r -'" / lA-- ~
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(Address) L~ - )'-I'1:b $''';- tJ ~112.{
(Address)
OWNER
(Name)
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(Contact Person)
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...-. ~PLICANT SIGNATURE
ZONING (office use)
PID 2.6. Of/5. ~35. 0
(Phone)
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(Phone) ~.;t
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(Zip Code) .
(City)
(Phone)
DATE
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION [JREPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL ~(J....._ B;Jo~ FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANT
t
OWarm Air Plants
OGravity
. ~ Mechanical
. JAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ~ ./"'"'
,_.
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$39.50
$39.50
$39.50
Building Permit #
$ .2lStJ
$ .50
$ J..A>..-
I Paid ~,0iJ
Date .,l.3 ()S
/C/. .
Receipt No. Slfl)~~
By fd
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
DATE TillE
CITY OF PRIOR LAKE . I ~ ___/
IN8PECnONNOTICE /.// ~ .--sCHEDULED ////J?'/3f
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ADDRESS ~'i 0"'1 ~~~ ~.,c~ C ~
V
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
.,....e McCH FINAL
COMMEN~: / ~
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAi..~ F~R PSPECTlON BEFORE COVERING
Inspector: M~ Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE.
/NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!