HomeMy WebLinkAboutMech Permit 05-1231
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
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ADDRESS
;-67 g(p 7f J:81Jf/1J/)
, -
; ~~:n 2i~ I PERMIT NO. /J,5- 1;;L3 J
3. Yellow Applicant C/'
v/~ tpL) ~VJ
ZONING (office use)
LEGAL DESCRIPTION (office use only) ,
LO~BLOCK I ADDITlON~, O~ 6 rei
PID :J-dR-OO;)-(J
T.J15P?~
(Address) /:5/~ f5,J,fiMj VieW ~ /LJ. 4J .
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APPLIC~T , - ~ ~U'"r; /../ '.JJ
(Name)~:.I'~;e ~;f;tt'r/m#~~~ . (Phome) C?V'I- 7/y-/?j3/
{Address)307f C}//e'-5/Mt4 ~~ ?V6::JL)~~y ~V ~~#
(Address) (City) , , (Zip Code)
{Contact Person) (j)jJL ~/2~.// (Phone)M-7/~-8J3/ .
APPLICANTSIGNATURE~~ . DATE //- i9t:z- 0.5
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OWNER -L/ ,.
(Name) 0~/-r
(Phone)
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~LACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL lfuu:J U{;/JK () Jt;- . _//UEL ~
FLUE SIZE .$11 RETURN OPENINGS INPUT 7~ pc.- OUTPUT
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TYPE OF SYSTEM
kJWarm Air Plants
OGravity
2tMechanical
Wr Conditioning
~t. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
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
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~q.5""6
.50
"---'ffice Use Only)
4/6,
,'his Application Becomes Your Building Permit When Approved
Paid
C/o;---
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Recei~~5" -3\3
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Date
Buildin!! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
It-l)_~OJ
ADDRESS
15 71 (p :I.sI c.,., (--l t/rc vt./
OWNER
CONTR.
PHONE NO.
PERMIT NO.
a- /23/
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 EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: ~U~~
.-::J;:t.. L '\' n ,.....
.
II WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR,<,Jt~REINSPECTION BEFORE COVERING
Inspector: /1 ! r./ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI