HomeMy WebLinkAboutMech Permit 05-0715
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CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONING/FIREPLACE~PERl\'u 1
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Date Rec'd
-7.z5- (fS
i~ ~:~. I PERMIT NO. 05.07/5\
3. Yellow Applicant
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LOT
BLOCK
ADDITION
OWNER b ..__
(Name) ~ ~N-a~
(Address) _ <) A M..R
(phone)
I APPLICANT, , } I
(Name) !VPN?(J,
(Address) A) ~ I
(Contact Person) -J, ~,~
APPLICANT SIGNATURE
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D (J ~~Leu
(Address) \
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ZONING (ofticeuse)
PID25.14..? 030. 0
(phone) (p 5J - ~4 -'1~
('()eM EM~ t-..\ 55\ '2..'2
(Ci~.' I (Zip Code)
WEPLACEMENT 0 AL TERA nONS
-r-I.JLJ~ . FUEL 1\.b4-
INPUT ~~ OUTPUT ~
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELO'V
ONEW CONSTRUCTION
FURNACE MAKE AND MODEL ~ ~AP
FLUE SIZE RETURN OPENINGS
TYPE OF SYSTEM
~arrn Air Plants
oGravity
o Mechanical
OAir Conditioning
oVent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential. Heating & NC (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $
Building Penn it #
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
$ --SfI56
$ .50
$ 4D
nce Use Only)
This Application Becomes Your Building Permit When Approved
Paid ""0. () 0
Date 7. 25.05
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
JI~da:;-
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PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt N09' 9&3/
BY~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 8 ..q -Gt>
ADDRESS is] tJ4 M~
.
OWNER CONTR.
PHONE NO. PERMIT NO. c:-- 7/?
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION ~MECH FINAL 0
COMMENTS:
'.
~RK SATISFACTORY, PROCEED
o CORREC T N AND PROCEED
o COR CT W FOR REINSPECTION BEFORE COVERING
Inspectc r: A Owner/Contr:
CAJ ).,.9 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
--....-/'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNon
Date Tested:
7 JJt/(){
, . "'-
Stack Temp. -] b J
BTU Input: Xa.o rI()
Manifold Pressure 3. S
CFH:
%C02, ~
,
%02: 7
%co: _1'I~;1
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