HomeMy WebLinkAboutMech Permit 06-0715
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIQNING/FIREPLACE PERMIT
Date Rec'd
i: e:v ~~icanl I PERMIT NO. 0& . 0 1/~
ZONING (office
use)
(Please type or print and si~ at bottom)
ADDRESS
\~d5 ())ed CJuVD ~oCAd
LEGAL DESCRlr liON (office use only)
LOT BLOCK
ADDITION
PID
OWNER J
(Name) 0 h n
beer
(Phone) q~ 1-\L\," \1,1
(Address) I ':SL4"d.5
~ed Oah~
~OCld
APPLICANTC I - \ \. I A
(Name) 0 rt"1T d p t1 , t"
(Phone) -'a51-l-\lJ)(). lDDd~
(Address)
AI~IO ~c.~ ~f'". ~Orml("v'-.\-r)('\
(Address) (City) ~
(Contact Person) (' \ t"\J l1 .. (phone) "i-... ~
APPLICANT SIGNATURE (\~_~:-41J\' nl-M DATE -'-~l- \.0
- APPtJ.tXN'r PLEASE COMPLETE BELOW
UNEW CONSTRUCTION IQ-'~r LACEMENT 0 ALTERATIONS
FURNACEMAKEANDMODEL ~fl\QLL fj-c... . FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
~r Conditioning 0 Special Devices
DVent. System 0 Other Devices
5~~
(Zip Code)
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, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
EmmmedCo~$~~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ ~q_nO
$ .50
$ YO. On
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid 40. 00
Date 8.~.OG
Recei~o. .5 z,z..,,/ /
B!_
Buildinl! Offkial
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED ~~
kVak
TillE
ADDRESS
Isr.2r
OWNER
PHONE NO,
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
[J FINAL
[J SITE INSPECTION
CONTR.
PERMIT NO.
6 ,. 7/5-
[J PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
.-arMECH FINAL
[J EXIGRADIFILLlNG
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLlNE AIR TST
[J
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~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK: C~:;O??PECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/