HomeMy WebLinkAboutMech Permit 05-1111
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~n ~:~ . PERMIT NO. O! r _ '/1 J
3. Yellow Applicant 0 . I, II
(Please me or print and sism at b~.~~)
ADDRESS
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LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT r BLOCK ( ADDITION/!' -I- u... ~
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~~iANT 8 n<;1rL 1i/flr~ ~~Vltj: (Phone) ~6'J-?5& - 77r:;Jl IY+
(Address) t4,~ 'iCt ,Hv./lLi-(\y..~ j(L SClfJaJ'~ J /}1JU. ,5S378
, / (Address) (City) r (Zip Code)
_(Contact Person) fA.-" +- ~'vt Z- e..x- 11-;... \' "" (Phone) 9?"3..- -/::;>r; - 770./
"PLICANT SIGNATURE ,$Ja, ~.L ~ J;/1 DATE f1J.n;ll. qt!J., J7 <"
. APPLICA~T~LEAS~ COM~LETE BELOW I
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
PID OIJJ..... 17 () I, -
C/;
(Phone'ff). - t.f113 - (/J '3 ~ L
(Address)
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
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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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
$6450 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$3950
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ gq~bD
$ .50
$ !./ 0 ,..
.flee Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Paid 40.-----
Date
Date ~#-)
24 hour notice for all inspections (952) 447-9850, fax (9~) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Receipt No. .../"
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By 9-
u
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
. /
I ( --/7.&j
ADDRESS
/1L G I
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CONTR.
OWNER
PHONE NO.
PERMIT NO.
. ("-fll/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
[] PLUMBING RI
o MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
o EXIGRADIFILlING
o COMPLAINT
if"FIREPLACE RI
~IREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~, ~~R REINSPECTION BEFORE COVERING
Inspector: --1/ vr ./ Owner/Contr:
CALL447.98~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl