HomeMy WebLinkAboutMech Permit 06-0711
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CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
l. Pink
2. Green
3. Yellow
E~icanl I PERMIT NO.I)f,. 0 71 J
ZONING (office
use)
\ 1...\ \ L-\
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDillON
PID
o
o
.
c
:r
OWNER
(Name) ('('\0 l""'\ \ ~ \"\ c~ a. J'f" \ 0..
(Phone)Q5d- cf33 -O/ora
(Address) I Y I L-j:3
APPLICANTQ +r lled
(Name) 0 n tJ
A",..
(Phone) (051- ~ (00 loO~a
(Address)
& \ A. \ 0 ~l'3. +-0 n A1. )f-
(Address)
PLI
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL
\=orY'C'.l~r
(phone) X -a~~
L - '0\- Lp
55~W
(Zip Code)
~
(Contact Person)
RETURN OPENINGS
TYPE OF SYSTEM
OWann Air Plants
OGravity
o ~echanical
~ir Conditioning
OVent. System
DATE
COMPLETE BELOW
PLACEMENT 0 AL TERA TIONS
FUEL
OUTPUT
APPLICANT SIGNATURE
FLUE SIZE
INPUT
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
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Addiy,ons & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ q-, ~ 0.0 Q
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ 3Q.5o
$ .50
$ \....l O. 00
,.--
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Paid 4-0. () 0
Date 8 . 8. 0 G,
Receipt No. Sz,2...//
By
B.uildine Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
(G({q~
MJ()d c-Lude
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
o MEC/rfic
COMMENTS:
DATE TIME
8-'" ).1~
G'II!
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND P D
o CORRECT R REINSPECTION BEFORE COVERING
Inspector:
OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH Ie SAFETYI
INSNOTl