HomeMy WebLinkAboutMech Permit 02-0677
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~ ~~ ~!; PERMIT NO.11"7-/J/-7.-i
3. Yellow Applicant (/ " \(J /1
(Please type or print and sign at b_::u~)
. ADDRESS
5496 CANDY COVE TR SE
ZONING (office use)
LEGAL DESCRIPTION (office use only)
C)I q-~
LOT BLOCK ADDITION
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PIDd5"O~-- Ol:5<J
OWNER
(Name)
DEB BAXTER
(Phone) ..9 Cl? -447 _h "Ul5
(Address)
5496 CANDY l:QY.E 'T'R ~R
APPLICANT
(Name) RON I S MECHANICAL. INC.
(Phone)
9S2-44S-RClRCl
(Address)
12010 OLD ~RTrK YD ~n
(Address)
SH.a.KOP'R'R, M'M
C:;C:;~7-9
(City)
(Zip Code)
(Contact Person)
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION & REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Phone)
APPLICANT SIGNATURE
DATE
It ~ 3.O"r
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
"&'Air Conditioning
-ov ent. System
HEATINGORPO~RPLANT
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
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
~lt)D
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~q yJ)
$ _.\ .50
$ UO.(}..I
(Office Use Only)
Building Official
Paid L( () " oCJ
Date / I
Date ~/ foI I) d--
I b
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Rece~g~oi 5~
By ~
This Application Becomes Your Building Permit When Approved
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
, <t;C;(:,--
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
11/~ 0)
COMMENTS:
/
/
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DATE TIME
3-;L/-.3
a~~
CJ
.;( -& 7-7
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ 1_
~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECTWJ~ALL FOR REINSPECTlON BEFORE COVERING
Inspector: -1IJfJ ~ 'J - )/-0] Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!