HomeMy WebLinkAboutMech Permit 05-0611
14:38
CITY OF PRIOR LAKE
9524474245
P.01/01
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. Z 7 OS
ADDRESS
~.~:. ~~~j"'.1 I PERMIT NO. 05 QlO II I
ZONING (office UK)
~
303 Z. \3o\)h.J- T {. N, 0J .
LEGAL DESClUPTION (office use only)
LOT
BLOCK
ADDITION
PID 25. 382. 032.0
( (Name) ) \)c,- It, :;+ -t- 'i'r\
(Address) 3tlsz. DobCcJ T,--. /'l - vJ .
Kef. t.... H ~~-+; I"
~ Cf~d ~ 402 - ell ~~j
--r?"V;/' 'S ":)2) 8-z..
(Phone)
APPLICANT PLEASE COMPLETE BELOW
....1"~ DNEW CONSTRUCTION 0 REPLACEMENT . 0 AL TERA TIONS
~ MAKE AND MODEL (')00 JvV"\.q", ~ \ ~ (CT 3Q - I FUEL
FLUE SIZE RETIJRN OPENTNGS INPUT OUTPUT
TYPE OF SYSTEM BEATING OR POWER PLANT
OWann Air Plants 0 Steam
OGravHy 0 Hot Water
o ~c:chanical 0 Radiation
(0"Air Conditioning 0 Special Devices
OVent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Estimated Cost $
FEE SCHEDULE
1 % of job cost Rc:sidcntial, Gas Fireplace
$39.50 minimum
$99,50 Residential. Additions & Alterations
$64.50 Residential, AC Only
Building Pennit ## 05. o&-, / /
$39.50
Industrial. Co Il'u'nerci II I & Multi-Family
R.esidential. Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
39. So
.50
tHJ. 00
(Offite Use Only)
Building Offlfil\l
n.te
Paid 4-0, 0 ()
Date &,2-705
This Application Becomes Your Building Permit When Approved
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~~2.. ~ ~
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:
DATE TIME
q !21-{ O~
~- (PI)
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ ~E AIR TST
(J" ,J.i'H/"')\ 'ACC.(J55
f\ \ "'L" ..rl) _ \ -.,~ ( ~
c;'v-vc- ~ ~ 7
~ORK SATISFACTORY, PROCEED
o CORRECT TI AND PROCEED
Owner/Contr:
. CALL FOR REINSPECTION BEFORE COVERING
o CORR T
Inspector:
. 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!