HomeMy WebLinkAboutMechanical Permit 04-0004
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
J:.,,,,,, I PERMIT NO"tJ'I_ otxYi
I
ZONING (office use)
(please type or print and sign at bottom)
I ADDRESS
. /SS rl82
f) Bel OOlk Road
LEGAL DESCRIPTION (office use only)
BLOCK
LOT
ADDITION
lis
OWNER
(Name)
(Address)
APPLICANT . , IJ
(Name) F' Y' eS '''()L e
(Address) 3~50
(Contact Person)
PPLICANT SIGNATURE
APPLIC T PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
HEATINGORPO~RPLANT
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
Industrial, Commercial & Multi-Family
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
$ ~?, !;O
$
$
~'
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.50
tfOr~
lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
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
DATE nilE
SCHEDULED I l. -Z-otl
ADDRESS } 55~ ~
OWNER
~ Cbk-s
CONTR.
PHONE NO.
PERMIT NO.
<.../ - 00c(
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
COMMENTS:
o EXlGRADIFILLING
o COMPLAINT
~
o FIREPLACE FINAL
-.: GASLl15 AIR TST
o F
..
-u ~~
c)\OS-~ .
WORK SATISFACTORY, PROCEED
o CORRECT ION AND PROCEED
RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1/IISIIOTl
UlREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
l. '"
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
/~DDRESS
JWNER
t~J-iS
J-s-ef
tJ 6'1~ (tJ
SCHEDULED
CONTR.
PHONE NO.
PERMIT NO.
4 ~OOtf
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI ~O EXIGRADlFlLlING
o MECH RI COMPLAINT
o WATER HOOKUP ~IREPLACE RI
o SEWER HOOKUP . 0 FIREPLACE FINAL
o PLUMBING FINAL C ASUNE AIR TST
o MECH FINAL r. 0
COMMENTS:
(!) rOU0h ,~ tJlC
y-c cl-1~clt:.
gGi S It A.t
/~
o WORK SATISFACTORY, PROCEED
o CO~CT ACTION AND PROCEED
~RRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. j/If QwnerlContr:
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
I1I$NOn