HomeMy WebLinkAboutMech Permit 06-0410
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMrl'
Date Rec'd
~. =. ~:~. I PERMIT NO. /J / _ / II' n I
3. Yellow Applicant f/ (L) I j {./
(Please tvtle or orint and sign at bottom)
ADDRESS
5533 ra....L,\('t I.'\r) 6harc"'; \"Y"' SE...,
LEGAL DESCRIPTION (office use only) 0
LOT~OnLOCK I ADDITION ~~
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OWNER
(Name) ~c:J \le.Jtan
(Address) S5~ ~\0J..0r) ~e..) \"'r Sf--,>
APPLICANT
(Name)~er6 6cLct:b~id.,J -+\3"
(Address) J.pq 4") W. \~l\~. '-.\ ::it=- \Cia
~ (Address) Y
(Contact Person) ..:J" I ~
APPLICANT SIGNATURE (> Ar./'LJ~
ZONING (office use)
PID~~ :J-'J4... 6M-~O
(Phone) Q5;l.-~~, Bbq
(Phone) ~6,;)..-~~I- 7CYlQ
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n-w\o .\hiLL\
(City) -->
(Phone)~
DATE 5- 15 -d..,o
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION gREPLACEMENT
FURNACE MAKE AND MODEL'"'K, I t._.' d -lJG P k 0 7
FLUE SIZE (A " RETURN OPENINGS
(Zip Code)
o AL TERA TIONS
FUEL ~.rQ(
OUTPUT leD. coc::L
,
INPUT lex~
,
DWarm Air Plants
OGravity
~hanical
~ Conditioning
JYent. System
Cl..l C-J""'12.. . . . .-&
1 i'fujc l.J~ MAKE AND MODEL r-'\\.....LI.JC...J
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
'.;;t'/~ ~
TYPE OF SYSTEM
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ 5\CJ.:5'7
,
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REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
ffiee Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Building Pennit #
$ 3Cl. SO
$ ~5Q
$ 40.0-1
Paid t/ 6.~
Date ~ 3 b
11- ,.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
$39.50
$39.50
$39.50
Recet;lq~
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DATE nilE
"ITV OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS S'S s..? .4;J...~!r
OWNER CONTR.
PHONE NO. PERMIT NO.
h ... PO
IJ FOOTING
IJ FOUNDATION
IJ FRAMING
IJ INSULATION
IJ FINAL
IJ SITE INSPECTION
IJ PLUMBING RI
IJ MECH RI
o WATER HOOKUP
IJ SEWER HOOKUP
o PLUMBING FINAL
_ iii M!CH FINAL
IJ EXIGRADlFILLING
IJ COMPLAINT
IJ FIREPLACE RI
IJ FIREPLACE FINAL
IJ GAS LINE AIR TST
IJ
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IJ CORREC~ACTIONANDPR C~ED
IJ CORRECT we R REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
, '~ ,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETYI
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