HomeMy WebLinkAboutMech Permit 06-0131
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec' d
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(Please type or print and si~n at bottom)
ADDRESS
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT 0LOCK ~DDITION U~{ff./ 65f" /Sr
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OWNER
(Name)
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(Phone) ~ IJ. ~ 0 9" -ls~;)'
(Address)
APPLICA!'R'
(Name) . l~ Ie:.. h
(Address)
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(Phone) (pfd & {pC}
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(City)
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(Address)
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(Zip Code)
(Contact Person)
APPLICANT SIGNATURE -:;?-
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(Phone)
DATE
djJ-:5/o0
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
1 j lid ~ ~ Cantilevers to the Outside of Buildings
Require a Building Permit.
DWarm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
DAir Conditioning 0 Special Devices _
DVent. System , 0 Other Devices ~ i;
FIREPLACE MAKE AND MODEL D~S/-1 L.. /.1,0 V 3 Y IV ft
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
Q
$39.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$3(}'; (..\
$ .50
$ ij ().
<flee Use Only)
Buildin!! Official
Date
Paid Lj () < ....
Dates .- '3 -00
Receipt No. / /' I
~05~'-1
By Ci-.
0)
fhis Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
LI ~L/ n ~ 4 Vt/7/ZJ r?
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
D FOUNDATION
D FRAMING
o INSULATION
D FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
D WATER HOOKUP
D SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
,,-, (.", '-
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L. f :.-
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o EXIGRAD/FILLlNG
D COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
~GASLINE AIR TST
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.ft WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
D CORRECT W9tR~CJ9FOR REINSPECTION BEFORE COVERING
Inspector: 0/ r Owner/Contr:
f/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH de SAFETY!