HomeMy WebLinkAboutMech Permit 06-1025
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/1. /3. 0-6
l. Pink File PERMIT NO rb
2. Green City . . . In ':J 5
3. Yellow Applicant /V ~
(Please trpe or print and si~n at bottom)
BtJImSS
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ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
. (Address)
'i(Address)
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~UUook Ct
'(Address)
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APPLICANT PLEA,.SE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Phone)
9.9 -if~'7 -~1ll)
I"~ ~'1
(City)
(Zip Code)
TYPE OF SYSTEM
HEATING OR POWER PLANT
.-E:JWann Air Plants
DGravity
o Mechanical
-HAir Conditioning
OVen!. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
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 $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.39SP
.50
" /),00
'fiee U se Only)
, .
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5.l(p'r1
,
BuildiDl! Official
Date
Paid A 1\ ../11
~U , {f V
Date II _ ( 51 d to
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~4~
1>"lJd/4
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
(1/''''- {,(~_
COMMENTS:
~.
/ I -
loX-
~
DATE TIME
J/-1-o-vt
Lr~
G-IOA.s-
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
L~r<<.
I 'IV
/
(
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----
)
~
~ORK SATISFACTORY, PROCEED
~ 'CORRECT ACTION AND P OCEED
L R REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
, ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
'NSNOTl