HomeMy WebLinkAboutMech Permit 02-1570
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
L Pink File
2. ~n City
1 YeUow Applicant
, ~~CJ(officeus~
leI
4-'4 z / ~ >t H(/}..If (VI
LECJAL DESCRIPTION (office use only)
LOT
BLOCK 4- ADDITION
J' ~
PID
~360- Ol1- ()
I OWNER
(Name)
(Address)
(Phone)
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(City) (Zip Code)
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SIGNA TURBs7"
(Phone)
DATE
.fiI'
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APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TINCJ OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
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
AND MODEL
Estimated Cost $
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Permit # 0 ~, 161 ()
$39'.50
$ .50
$ 4/J.1FD
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
REA T~G PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This App .
t When Approved
It" &. (l--
Date
pa~ti. Oa
Date
/2 - " . 0 Z-
Receipt ~~ ~ z5
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
t1~1-t
OWNER
DATE nME
SCHEDULED t'1jt.c/a.2- ~
~~ tJv1{"\ G\
CONTR.
PERMIT NO.
?~l~7f)
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
4 0 COMPLAINT
FIREPLACE RI
l~IREPLACE FINAL
~. GA~$i~ TST
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~R REINSPECT\OH BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl