HomeMy WebLinkAboutMech Permit 06-0982
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CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
10.3D/Db
~. ~e~n ~~:y I PERMIT NO. ~/ . 6~h1:2-
3. Yellow Apphcant IN 7 {J
(Please type or print and sign at bottom)
ADDRESS 5;;){n 7 4io3f (0; rrf (j rrJ~ ~ l
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
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APPLICANT SIGNATURE !1!ttJj)f1J2l.)(Af)P ...t/
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OWNER .( ~
(Name) . (IY\
(Address) ~ 7
ZONING (office use)
PID
(Phone) 1-/47 - (0 CfQ
Sh
tj/<)/-S'cf3d-
SSP9
(Zip Code)
(Phone)
DATE
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION .-.~ACEMENT 0 AL TERA nONS . ~
FURNACE MAKE AND MODEL (fY/lef- 6\("A/11J Bofb6 FUEL JLrr tJIlS
RETURN OPENINGS INPUT OUTPUT {/
FLUE SIZE
TYPE OF SYSTEM
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
$ 3Q, :so
:iT;8,?
~4b,DO
Date to...) () , ~
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
'lice llse Only)
,'his Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
-receiPt No. 5 z,(,,( (l
O'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
r:- rl/51-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEE
F- (/1/1;1 fA U
DATE TIME
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W-
r; - 4n.
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl