HomeMy WebLinkAboutMech Permit 05-0627
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
tR, 3.,0. OS
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5 :<. r- ,h]..l
~. ~~ ~~~, I PERMIT NO. OJ ~ 0 (p '7 7 I
J. Yellow Applicant , U '" .e-- .
~a
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID l ( . 1(, \' . () b ') , D
OWNER
(Name)
(Phone)
---.
~7- J-'lO~
(Address)
APPLICANT ~...nn .
(Name) ~~/~P'.<f~ (),'r mu.skr~ (Phone) -V'3/-S~3~
(Address) )~~. L)IS~r-')-/f!t~.:.fiJit~.JOI; /l.P'. ~~~S:l;)
(Address) . ~ (Zip Code)
(Contact Person) {'f:2.L (Phone)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT \3AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o ~hanical
~ir Conditioning
OVcnt. Systcm
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation '
o Special Devices
o Other Deviccs
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% o(job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$]950
Residential. Heating & NC (New Construction)
Rcsidential, Heating Only (New Construction)
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Estimated Cost $ :J () 00 --
Building Pennit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3C7.SU
$ .50
$ ~o .-
Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Paid /j-Cl t1 (J
Date &, .10. 0":'-
Receipt No.
~t;7z4-
Building Official
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
ADDRESS
/5-J' ..2S-
DATE TIME
SCHEDULED ~~
/3ZiL' // Q'
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
,,') -627
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
~H FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
CO~~TS: / /
/ jtJ lAC 'I? d
~ ;(' LA.,/;.L-
/
,r), t:
'-' ~/! .
/Ja"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI