HomeMy WebLinkAboutMechanical 03-0941
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
7. /~. OJ
.:ase type or print and sign at bottom)
ADDRESS
~. ~e~n ~!~y PERMIT NO.aJ? -Oq~1
3. Yellow Applicant ~
APPLICANT 'I f),-
(Name) //J1J/} 071'/ k.Yl~1
/J.,'i)/J I~ //A1~vuj
(Address)
"
(Contact Person) 1M ,<, 14M ~
APPLICANT SIGNAMRE ~
./
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT .JtJ AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
CI' .~ ~ )
~~I ,_-(t')la/'d Vt1W \\.1\)--/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
th//hvl
3~57
/YJ n, S-If'
J
[Sja~ d V:./AA/
(Phone)
(i
" A A/
(Address)
(Address)
tYJ I fYJUjUW)
)4,/ /'/t
(Phone) -1/..3-' 7 ffJ-U;) 0 ()
h yJ rJku r:: 'S . ~u vI
. - (City) L (Zip Code)
ZONING (office use)
j(.Jr V
PID25.JS9,o 0 Z-. Q
q5::J :] df/ . U(j/Y-.
.11
df~
(Phone)
//1;)" ,-1.) / -SLq U
l'iJ/ ~o3
Building Permit # 03 - aCj4- /
$ 'tpf 3~. 51\,
$ .50
$ '1(.> ~
DATE
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent System
FIREPLACE MAKE AND MODEL
r J7,j.)//IW Yi7.At'-J. b/ ~ i~&.l>>Jtn Q;1"/ jW ()# VIII/./f.
_ '7 . 77~' FEE SCHEDULE
Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AIC (New Construction) $99,50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
Estimated Cost $
3ZXJI OJ
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
'his Application Becomes Your Building Permit When Approved
paid40.Ot)
Da~ / "Z.
/. 1(# . O.J
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No. \~
~:J/
By -f:
u
e CenterPoint",
Energy
Minnegasco
To:
Michael Myser
3857 Island View Circle
From:
Crystal Gelschus
cc:
Robert D. Hutchins
City of Prior lake Building Official
Date:
10/16/2003
Subject:
Inspection on pending permit number 03-0941
CenterPoint Energy Minnegasco installed gas piping to your appliance in July 2003 and
the permit was sent to you the customer. The City of Prior lake has informed us that
they have not been notified to schedule an inspection of such appliance installation.
Please call the City of Prior lake at 952-447-9850 to arrange this inspection as soon as
possible.
Thank you for your cooperation and business.
CenterPoint Energy Minnegasco
J./ tJ,t;Jh cf( IIJ';J.. J-() "3 ·
TltnItA-~ . ~
~d WJl ~,tJ~Jt~ ~
~+ -J-' JJO ~rcl.
pt. WtJIrt, -A~.
C 10 $'
.
Fi -e.
I Home Service Plus' I