HomeMy WebLinkAboutMech Permit 05-1137
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
.....,:
~. ~:en ~::y PERMIT NOi/);: I.' J '2.1
3. Vellow Appliclnt //::1- I')
(Please type or print and sistn at oottom)
ADDRESS
16351 ALBANY AV SE
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
.
MICHA~L SORENSON
(Phone) -.9.5..2 - 44 7._ 1;4 R 1
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APPLICANT
(Name) RON'S MECHANICAL. INC.
(Phone). 9!U-445-8585
(Address) 12010 OLD BRICK YARD RD SHAKOPEE MN 55379
(Address) (City) (Zip Code)
(Contact Person) t ,ncia (Phone)
r~~PLICANT SIGNATURE t111~JV V\Cl V\CLl Y VA TE
APPLICANT PLEASJ COMPLETE BELOW
ONEW CONSTRUCTION GjREPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL (( \;~ lXD \) l1 \( rlD:') FUEL Nh
FLUE SIZE RETURN OPENINGS. INPUT -=1 0 \ Db () OUTPUT & 4. L/ DO
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
09ravity
[if Mechanical
OAir Conditioning
OVent. System
..
o Steam
o Hot Water
o Radiation
f: 00 Special Devices
Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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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
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
/-
HEA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
?rl t{)
.50
tio ,00
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.;
ce Use Only)
This Application Becomes Your Building Permit When Approved
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Building Official
Date
Paid / / ----
"-1' ()
Datell_ / (),$
Receipt No. q
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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
DATE TIME
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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
r
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS/;1 / /___
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fi~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCE
o CORRECT WORK, CALL F INSPECTION BEFORE COVERING
Inspector: A
V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn