HomeMy WebLinkAboutMech Permit 06-0891
CITY OF PRIOR LAKE
REA TINGI AIR CONDITIONINGIFIREPLACE P~RMIT
Date Rec'd
~: :~n ~:~ PERMIT NO. /v .040.,
3. Vellow Applicant Uttr (/7
(Please type or print and sign at bottom)
ADDRESS
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ZONING (office use)
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LEGAL DESCRll'nON (office use only)
LOT
BLOCK
ADDITION
,PID
(Address)
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(PhOne)~~ - L\L\--'l- L\4~~
OWNER
(Name)
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(Address) (City) I (Zip Code)
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(Contact Person) \L...\lJ\\.. \. \ '1;, ""U,V.. . '. ,/. (Phone) no<.. () l.j Lf I;;).
I APPLICANT SIGNATURE J/'~/u1Lr';{Al(/?L' DATE f} -/<+-O~
1-- - 7
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~ AL TERA nONS
FURNACE MAKE AND MODEL . FUEL nM
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
/ ~Other Device~~_:J I.Jgj
FIREPLACE MAKE AND MODEL j\R;(c{a,nce fa /0 i [f{k.S l ItJG ~-lllY -\est-
. v
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
~~
$39.50
$39.50
Industrial, Commercial & Multi-Family
Estimated Cost $ .;;zDDD ~
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~q , ~ a
$ .50
$% ' 00
Office Use Only)
Building Official
Date
Paid 4-D _
Dater 0.:5 .6(0
eceipt No.
5' z... K z,...
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
174QC
(J~/ (ijd
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
IO~(}
c ~x--q !
o EXIGRAD/FILLlN~
o COMPLAINT
~ FIREPLACE RI
o FIREPLACE FINA
..,..Jd-GASLlNE AIR TST ,
o
~ ~ ~ --....
/-. ~"')
(;/ j ux. F7/r ./
"--- -------
---- --rr-
!"':..ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K. C&OR REINSPECTION BEFORE COVERING
Inspector: 1/ W Owner/Contr:
&I
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!