HomeMy WebLinkAboutMech Permit 06-0557
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CITY OF IJRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
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AI,>QRESS
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~. ~n.~" ~!~y. I PERMIT NO'6" 05571
). Yellow Applicant -
ZONING (office use)
LEGf\L DESCRIPTION (ofnce use only)
LOT
BLOCK
ADDITION
PID 2.5. z.zs. oaf. 0
OWl)1ER
(Nanlc)
(A~ld(ess)
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AFPpCANT N\ .' I/' \ \
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(Address)
(Cl,Inlact Person) (\ 1.,\ V\ L. \/ S. L.~ ~ ~ \ \.
AFPpCANT SIGNATURE 0f\<:l\JV-\.1 l.Ahh
(Phone) <\ S :~ -. q \\ -{- ~ \ J. t{
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(City) (Zip Codc)
(Phone) CJ ~ ';). - \;\ '--'I f - ~ \ \} >..\
DATE
AI)JlLICANT PLEASE COMPLETE BELOW
1"'-'-' ONEW CONSTRUCTION ;K:t REPLACEMENT 0 ALTERATIONS
1\~ACE MAKE AND MODEL \'-) "'\' t.A.~\ "3 S" r f1 (-\ VO~~. ~ FUEL N C\-\--.
FL\J~ SIZE 6) V L RETURN OPENINGS INPUT ~O. ~ OUTPUT lS. aQu
TYPE OF SYSTEM HEATING OR POWER PLANT
. DWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FI~E"LACE MAKE AND MODEL
Imillstt ial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fircplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Resjdcrtial. lIeating & Ale (New Construction)
Residcptial. lIeating Only (New Construction)
$39.50
$39.50
Estimated Cost $ ~\:\ ~ \::.\ ~
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
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$
$
$
.50
(Ollke Use Only)
~li~ Application Becomes Your Building Permit When Approved
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lJuilding orncilll
Dille
Paid ~O.OO
Date/" tZ.O~
Receipt NO'S/58t;
BYjrH .
24 hour notice for nil insllections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~~~~,-
ADDRESS ~~~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
[J FOUNDATION
o FRAMING
o INSULATION
[J FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
.;u _ECH FINAL
COM~fdlTS: / .1
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/
hrHt?ce-
DATE
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TIME
6 -c$Y?
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ORKSATI~El) ~
./ 0 CORRECT ACTION AND PROCEED
o CORRECT ~~')PVFOR REINSPECTION BEFORE COVERING
Inspector: / ~ ~ Owner/Contr:
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L/jC
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SA.r'ia 1'1
INSNOTl
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