HomeMy WebLinkAboutMech Permit 02-1358
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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ADDRESS
Date Rec'd
~.:::;~ ~~~, I PERMIT NO. a ) - / 3 dO>
3, Yellow Apphcant c?\ JIG
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LEGAL DESeRH'nON (office use only)
LOT 6BLOCK ;;) ADDITION l1JttodfJ LUI/l2 ~ ~
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(Address)
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(Address)
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(City) (Zip Code)
:r ~., &/2- 2 '32'- ?C? 7
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
OVent. System
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FLUE SIZE
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
INPUT
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
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Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
(Office Use Only)
$
$
$
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4b" .50
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
This Application Becomes Your Building Permit When Approved Paid t({)~ ReceiPl/9J-flf
Date Date/6_ /~ ~ ,,11 BL ~,.
Building Official ( I ,/ U.......I ~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 II
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ,r~j r"l11her t-
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 MECH FINAL
COMMENTS:
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OIL,
DATE TIME
Iv ,.1-"-
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I.'IS"""
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} -!-3 r.-j
o EXIGRADIFILLlNG
o COMPLAINT
~FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: f111/ 0-21-6LOwner/Contr:
CALL 447-?~~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl