HomeMy WebLinkAboutMech Permit 06-0243
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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APPLICANT . /1 j / I. L J III
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(Address)
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APPLICANT SIGNATU~ -, 'P-t).,~;J! . :kJJat.,,"-
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APPLICANT PLEASE COMPLETE BELQW
DNEW CONSTRUCTION D REPLACEMENT )lSALTERATIONS
FURNACE MAKE AND MODEL FUEL
(Please type or print and si~n at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Address)
(Address)
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
HEATING OR POWER PLANT
Date Rec'd
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~. ~i~:n ~::;y I PERMIT NO. Of- - t> 'ZA-'?
3. Yellow Applicant ~
ZONING (office use)
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(Phone) SlSl-t.ji.j'l-B,S~l:1_
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(City) (Zip Code)
(Phone) 9~-J.- ?3/(J ~ 7'1(;;/
DATE fJfJY'" { !A It 1 - VG
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INPUT
OUTPUT
PLEASE NOTE: Air Conditioner
o Steam Units and Fireplaces Cannot Encroach
o Hot Water
into Required Side Yard Setbacks.
o Radiation
o Special Devices Fireplaces with Box Additions or
o Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
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FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
$39.50
$39.50
$39.50
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(O~fice Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
$
$
$
3"1. 50
.50
4t'/ t:I
Paid
4t1-
Date~. /6. c~
Rec~pt No. :5/2 l- 2-
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//
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 ,--~9~s-
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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
DATE TIME
fj~
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o EXlGRADIFILLlNG
o COMPLAINT
~EPL.ACE RI
~EPLACE FINAL
~SLlNE AIR TST
o
COMI'!I.ENTS: '"
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~~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~~~~~NSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!