HomeMy WebLinkAboutMech Permit 06-0436
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~:=w ~~icanl I PERMITNO.O~ -l/3'
(Please tvve or print and siltll at bottom)
ADDRESS ZONING (office
\~loILP ~'hd\r.e.- ~ use)
LEGAL DESCRlr liON (office use only)
LOTft! BLOCK ~DDITION iJdaAlld V~!sf- PI~5- /tJ3-t)-?3-(j
OWNER r- \
(Name)~h{).n-Ip..~ \-l..)r 0(')5 (phone)q5d-4L./l.~alo,
(Address) l<O La llo 6 Y1~\ \~. ~
~~~;~~ANTc..OY"\+r-d I\d A\r
(Phone) lD5 \ - L4 loO- (Doad
(Address)
6) la 10 ~~o.'\ I ~ \ ~ FarrY'\\~~+n'l'\ 550ay
(Address) (CitW (Zip Code)
(Contact Person) Q I W\ d 7\. (phone) (05 i - L.I ~ 0 - (Q o~a
APPLICANT SIGNATURE '{) <, vv-l~:.. A : v,," 0k:1.Q DATE ~.@:d..- l.P
APPLIC~ASE COMPLETE BELOW
DNEW CONSTRUCTION [}t(EPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL. FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
[id1(ir Conditioning 0 Special Devices
DVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE S~nJ!,DULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ::A .5c> Building Permit #
HEATING PERMIT FEE $ ~Q. 50
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ 1.4 O. 00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
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PaidijO ~
Datg- '-~,_(;,
Buildine Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt ~/LI' -? /
By Y
ADDRESS
/s-~/~
DATE TIME
SCHEDULED ~~~
J'~t//"~
/
CONTR.
PERMIT NO. 6-<;/U
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION ~CH FINAL 0
COMMENTV /' / ~.-/ /
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~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~'J.. ~ REINSPECTION BEFORE COVERING
Inspector: ~ r Owner/Contr:
CALL, 447.9850 FQR, THE NI5XT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 41 SAFETYI
lNSNOTl