HomeMy WebLinkAboutMech Permit 05-0691
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
7. /9.05
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ADDRESS
5~,6
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 11/05
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Pink File
Green City
Yellow AppIiCllll
PERMIT NO. 05. Oft,q /
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT d-BLOCK ADDITION J)1~ (p~ ) ~
PID z.s. 073. OOZ. ()
OWNER
(Name)
. j)""....> \ t::>
V I\- ~ G."j,\E..~
(phone) q 52.- y Yo - fl-'-~
(Address) 5 ct \ -::,
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APPLICAbU . l
(Name) JL~ 5 ( cJ -<<..,...., '\ ..~ \ :-\ <:..c.....- -\ ,"c;-.. ~ A...~ (phone) 6, z. - 72..4 - I ~<<=t '1
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(Address) ) ~(~ ~ - Y L S 7" fr- S\'H.~ -e......-\ MP L- ~ .5 5 LIO f
1) # ~ :ddreS/s~L.D ~,...).d (PhOneD) (ACTEity~, 'Z..-72J-f- l R <1(~COde)
~PLICANTSIGNATURE " ~ ~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL a... u v \") U G(L~O t:-. ~ <:: So FUEL ""^ '\ ~ 1'\ ~
FLUE SIZE RETURN OPENINGS INPUT 'bD ~ ~O~ OUTPUT c'56 I '-t 0 ()
TYPE OF SYSTEM HEATING OR POWER PLANT
~ Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
~onditioning 0 Special Devices
DVent. System 0 Other Devices
(Contact Person)
If
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ ----'-3 q % . 00 Building Permit #
",.--.
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~~ _ SO
.50
LfO - oc
ice Use Only)
Building Official
Date
Paid 4-0. 0 ()
Date 7. 19, ()S
Receipt NOo49A ,..,
By 4r::b\
,
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
~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /~6'O(,
ADDRESS l)t{ (t; I.J.,~ 6:Jic- C(~
,..
OWNER CONTR.
PHONE NO. PERMIT NO. ~-r;'1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
/~vt}.y r;()1 "1+
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL / . 0
/t:;.,fA." U / IL- r-
! ',-
,
rrr; tdt~~ I
I
~TORy.PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: --t ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!