HomeMy WebLinkAboutMech Permit 06-0654
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and sip at bottom)
Date Rec'd
1. Pink File
2. Green City
3. Yellow Applicant
PERMIT NO. t:)h- 6574
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ADDRES8:;0 I ^-~ /111-.. V..f.
LEGAL DESCRIPTION (office use only)
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ADDITION
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(Address) Ilj!))~ .ft.UL. I).f;-
APPLICANT I\~ ._ .\ l if (H:,.,..-. J1Vl/
(Name) rr~ V!jJjfJJjJ,\ I t,LA
(Address) ~?~ J!j4~ Sf:- UJ "*:!tI
(\ ) /I ~Address) f'
(Contact Person) ~f/tih
APPLICANT SIGNATURE ~ rtf (N./J
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ZONING (office use)
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(Phone) w\ 3% - CItX>:;
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(Phone) C!591!i3J-513,!;).
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(Phone)
DATE'
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APPLICANT PL~ASE COMPLETE BELOW
DNEW CONSTRUCTION, . ~ ~LACEMENT _ ~D ALTERATIONfl/)J d.t1 (J
FURNACE MAKE AND MODEL ~D-~ J !rfjI1113~ FUEL ~/\
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants
DGravity
~echanical
- ~ Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $ ~(fj).----
Building Permit #_
$ L1()~~
C~.%
paiftp R~)~3
Dat7 il/--0 By ~
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Industrial, Commercial & Multi-Family
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
,~ffice Use Only)
..'his Application Becomes Your Building Permit When Approved
Duildin!! Official
Date
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
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
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OWNER
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CONTR.
~~
ADDRESS
PHONE NO.
PERMIT NO.
b - 6S'y
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~H FINAL
COMMENT€ r / ~
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/
O,lc
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCE 0
o CORRECT WOR INSPECT N BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
JNSNOTl