HomeMy WebLinkAboutMech Permit 06-0687
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/. "Zr ()b
1. Pink File
2, Green City
), Yellow Applicant
PERMIT NO. ~ _ ()t,87
(Please type or print and sian at bv.....~)
ADDRESS
57Sg C'edar tJoodS/-ree1- N.E.
ZONING (office use)
LEGAL DESClht' nON (office use only)
LOT
BLOCK
ADDITION
PID
OWNER /1 L ,
(Name) ---L- n r IS
(Address) S7 6 ~
i- of/;a: r -.b Eb-l-e
t"edt< r CJoo& ~free+ JJ E.
(Phone) '7'L/f - I"J;) ~ 2-
frJorL4-~eJ mill $537'-
APPLIC~T ,
(Name) qJUt'J. /, -J, Hr..It.~ f1~ V A ~r t'_~'~('(l'..!'_ (Phone) (?r:~~_,)~tJ3 -I) I (J
(Address) laq IJ.. lien iuf'a./ tlM...r1 # d I ~A-kl'J.fpp rr/ ,~~ .., L
(Address) (City) J (Zip Code)
(Contact Person) cl30 ~ ,- ----~ e ~ c:.. (Phone)
APPLICANT SIGNATURE ~~ DATE 7-J)...-tY6
...--.
t..'
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~rLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL C!a.. f' 1'-., ~_ r ......:7. T0J FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
DWarm Air Plants
DGravity
o Mechanical
~ Conditioning
DVent. System
HEATING OR POWER PLANT
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
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ~9 ~
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
ai'9-SZJ
.50
-sr o. D'!)
,.- 'ffice Use Only)
Building Official
Date
Paid +0. () ()
Date 7 :1 I () (;
Receipt No. 5/ 9'J t,
By 7..7 J. () (0
fhis Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TillE
g- 21/~
ADDRESS
,-
. ~}JjV 6:~~AJ' <>d-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
k/c-
I
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~ '-
---
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o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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--
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, CALL F~SPECTION BEFORE COVERING
Inspector: tI'7/r'- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/NSNOTI