HomeMy WebLinkAboutMechanical 03-1030
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
(Please tvne or DIint and sign at bottom)
ADDRESS
; i:,:. ~:~ I PERMIT NO'03 - 10 ~)
3. Yellow Applicant /4 ::::t'"
ZONING (office use)
~ /5f}
6063 150th ST
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
/f
PID
OWNER
(Name) TONY JANIK
(Phone)
952-440-4159
(Address) 6063 150th ST
APPLICANT
(Name)
(Address)
RON'S MECHANICAL, INC.
12010 OLD BRICK YD RD
(Address)
(Phone)
952-445-8585
SHAKOPF:E MN
(City)
55379
(Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
~
DATE
~-I~ 03
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION PLACEMENT D AL TERA TIONS
FURNACEMAKEANDMODEL CC)Xrlw 5'&)VAc9m FUEL ~}J6
FLUE SIZE RETURN OPENINGS INPUT'1O, 000 OUTPUT:J- ~ r::JX)
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
o Steam
o Hol Waler
o Radiation
o Special Devices
o Other Devices
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
$64.50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3'1. 9)
$ .50
$~.l)i)
lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid __
tJ.
Date S. 5-0~
24 bour notice for all inspeclions (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prinr Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~G 'J
OWNER
DATE TIME
SCHEDULED
~-l_C-C/)
I s:o 1"--
s-f
CONTR.
PERMIT NO.
Z-lciJe;
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
FI/"~ 4u / A/
I
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
--2Jr.r OIL
WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~ ~~ CAL~ FOR ~V;PECTION BEFORE COVERING
Inspector: ~ ~}f; Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH of SAFETY!
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