HomeMy WebLinkAboutMech Permit 06-0748
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
8./&. 6 G,
l. Pink
2. Green
3. Yellow
~!:y I PERMIT NO. 0,/ . 0 ~~
Apphcant " ,. a
(Please tvlJe or print and Si211 at bottom)
ADDRESS
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
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. (Address) IS;)41::, ~dS€uJa.-_~ (!r /U E.
APPLICANT 7) . {/ 1/ J - .4' L /:J
(Name) Qllr,u J u .-h LtI fHA:.h~ # ~ ..c (Phone)""-/ f d- Ei?Y c;OOS
(Address) .3 t/tS7 Lut2-ft- 0W?l.J/v,J/V ~~ 'IL/dO I~U;-,u,/u /J/..." S-J~3 '7
(ContactPe,,;on) $"' k~~Add=~ n' (phone> (C'1.r a J''7l/ c:;,C;"J ·
APPLICANT SIGNATURE J-j,L-f~ ~~ DATE f.. 1~--CJt
OWNER
(Name)
~h
(Phone) ~/,J- ljl J' 37tf',5-
~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL l.enKPf.. GJb/ ILlJOI/.36 C - CJq () FUEL /l" , G..5
FLUE SIZE RETURN OPENINGS INPUT /d-J7;o OUTPUT 90Cl:::J&
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
iGravity
Mechanical
Air Conditioning
JVent. System
D Steam
D Hot Water
o Radiation
D Special Devices
D Other Devices
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.
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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit # 0 (,. () 746
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
3~'SV
I .50
L/ t'J 00-
~ffice Use Only)
lL'his Application Becomes Your Building Permit When Approved
Duildin!! Official
Date
Paid 4-0. 6 0
Date 8./1. (f C:,
ReceiP~o. 5Z,z;l1--
B(f'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
ADDRESS
/S,29'
DATE nilE
SCHEDULED ~~~
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CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
CONTR.
PERMIT NO.
~ ~ 7~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
~FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~TISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F REINSPECTION BEFORE COVERING
/ ~/
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Inspector:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI