HomeMy WebLinkAboutMech Permit 05-0986
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/0.1-'. as-
(Please type or print and sil!:ll at bottom)
ADDRESS
L Pink File PERMIT NO
2. Green City .05:098 (p
3. Yellow Applicant
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LEGAL DESCRu'nON (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
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(Phone)
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(Address)
APPLICANT ^, ~
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(Contact Person) \\l t\ '\ v,\
----\PPLICANT SIGNATU~ A~.
ZONING (office use)
PID 2.5". 258 ^ ()(1].0
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(City) (Zip Code)
(Phone) <i ~ ~ -"-\ 4,. 'i \ ~~
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DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTIO~ JCI REPLACEMENT 0 ALTERATIOljSI
FURNACE MAKE AND MODEL C (;,-r. ......... M \l f - ~ <J - \ 4 FUEL IV &if
FLUE SIZE RETURN OPENINGS INPUT ~ ~, (}"O~ OUTPUT '1 S J ~
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
:J Mechanical
)d'Air Conditioning
JVent. System
HEATINGORPO~RPLANT
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
$ '3 C, .s~
$
$ Lt(\ O"'~
.50
,.--
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
flee Use Only)
,is Application Becomes Your Building Permit When Approved
Paid 40-
Dat'lO, "f; O!!;
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No. 50070
B~
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
/;4M-
/r7-.?6 :yh.(er.7',/.;~
CONTR.
PERMIT NO. ~- ;?<f-~
SCHEDULED
ADDRESS
OWNER
PHONE 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
....8"1tfECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl