HomeMy WebLinkAboutMech Permit 04-0697
CITY OF PRIOR LAKE
REA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
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Date Rec'd
1. Pink
2. Green
3. Yellow
J!~icant I PERMIT NOVL!-C:,Cf? I
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT ~BLOCK ~DDITIO
OWNER
(Name)
(Address)
APPLICANT , A
(Name)~f, f {J~~ iC}L ~
(Address) .3 9 5'0
(Contact Person)
APPLICANT SIGNATURE
PID~S-- aRa"
(Phone)Cf5"" -t:l~ - 011.50
(Phone) (5) - g Z1r-tJ 7/F 8
gut }1~(/ /)/~ ~IJ1YlJ, ~~,]3?
(City) /' (Zip Code)
(Phone) 9s-;J. -J>"t?t?-- d 71.-~t!
DATE
~ APPLIC T PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
e.
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
$39.50
$39.50
$39.50
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
"'his Application Becomes Your Building Permit When Approved
Building Official
Date
$
$
$
.50
Paid 1ft) _ ---
Date
Receil~'~
By
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
~RESS
/'7,,223
DATE TIME
SCHEDULED ~~~~
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CITY OF PRIOR LAKE
INSPECTION NOTICE
.4ER
CONTR.
d!Jr-e,6r7
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
~REPLACE RI
o FIREPLACE FINAL
~SLlNE AIR TST
o
COMMENTS:
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CA~'NSP!<:TlON BEFORE COVERING
Inspector: ~ Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl