HomeMy WebLinkAboutMech Permit 06-0452
Date Ree'd /
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and si2ll at b~:.;,__)
ADDRESS
I, Pink File PERMIT NO ,/
; ~:w ;~~icanl O~--l/S~,
5~;; :3
E'Y'bO k.s
C I~rc Ie
LEGAL DESCR.1t'nON (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) .8 r uc ~
ZONING (office use)
PID
B "Jnn
(Phone) D S-.2 ~ - ..35" 8tQ.
(Address)r--S-~c::o? _~ i!3rnak..s:. C,'~
J
P l'"' ,'o..r L a-.k' "! ~
.s..s- X7::l
APPLICA~ \ } J
(Name)-LVuCLI.:.t..t~ II ea.:J/ AC
- . 1 (J'
(Address) I d 'U ~ ,) ~. ftc.. f"a.-- L'o f.A ,...-1-
(Address)
130 " tfe z. a ~
i3u--e, ~
~ A~r ....S~rl);cp-1.Phone) (C7Srij ~03 -I JJ 7\
#0)) ~___~ ho. knp"''' mJ S~ 3JS
(City) .J (Zip Code)
(Phone) (q r~ \ '/0 ~ -II I 0
DATE .~-.?J-ob
(Contact Person)
APPLICANT SIGNATURE
~
~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION J8'REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
o M~anical
~ Conditioning
DVent. System
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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ dl t/ t!J n . () 0
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.3 9,$"0
.50
-<! a......tJD
~'mce Use Only)
Chis Application Becomes Your Building Permit When Approved
Paid Lit),-
Datet_ /-f.p
Building 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
$39.50
Receipt NO~/'I1 ,
By fr'
COMMENT$'-'7,/ /'"
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
s</~?
OWNER
PHONE NO.
o FOOTING
IJ FOUNDATION
IJ FRAMING
IJ INSULATION
o FINAL
IJ SITE INSPECTION
V?
SCHEDULED
DATE TIME
~kA6
/ ~
C~
6-pp 1<-$
CONTR.
PERMIT NO.
b ' <V"S.2-
o PLU.PJNG RI
~~T~:HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~INAL
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,
o EXlGRADIFILLlNG
o COMPLAINT
IJ FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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YWORKSATIS~ ~
/ ~ORRECT ACTION AND PROCEED
IJ CORRECT wc;r;;/C:rOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ Owner/Contr:
,
CALL 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI