HomeMy WebLinkAboutMechanical Permit 04-0008
CI l' f OF PRIOR LAKE
HEATING/AIR CONDI IIONING/FIREPLACE PERMIT
Date Rec'd
/_ ~ ~ 04-
I. Pink File PERMIT NO
2. Green City · ~ DOO IA
3 . Yellow Applicant (./"'r" · V
(please type or print and sip at bottom)
ADDRESS
5903 ~~yr(
(J ~e!el
ZONING (office use)
~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID k~'^-). 02-1. 0
(Address)
dl>~}1 )11~ Oe } IA et1 t()(
~qf}.~< -T"ef'(' ,f (D.)V~-,[-e
(Phone) 95tJ. -94{J-/~
OWNER
(Name)
H ~Uf'j.A~ f1-o JIh (J . (Phone) r5~ -t?91Y-m.58
UJ, t' W CJ /2 rJurJllr-JLiJli /llll/ ~ GS-J3?
(Address) (City)/ (Zip Code)
(Contact Person) /L ! "f ~Y' (-.J.~ __ (Phone) -9'e;~ -~-07~
.~PLICANT SIGNATURE .(J tMH5cI fl-1j(~ t DATE --4'f}J1 ~ ~ ~-1 bt;/
APPLI~T PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL 1 bAA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUlyuT
TYPE OF SYSTEM HEATING OR POWER PLANT
APPLICANT' , A_
(Name) . ~,' U/,\ lrJ.-IL
3F~O
(Address)
DWarm Air Plants 0 Steam PLEASE NOTE:
o Gravity 0 Hot Water Air Conditioner Units
o Mechanical 0 Radiation Cannot Encroach into
DAir Conditioning 0 Special Devices Required Side Yard
DVent. System 0 Other Devices Setbacks
FIREPLACE MAKE AND MODEL ~1- nJ -t9:/fJ JU(j'j~1 FK5 ~j{//f\r-prt
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit # IJ'I-" 00 ()B
~..\
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\'u..l FEE
$ S~; SO
$ .50
S 41). (/l)
.lice Use Only)
~pplication Becomes Your Building Permit When Approved
---
Building Official
Date
Paid A1\
'fV or' av
Dat1. (p, 04--
Rece;;;iPt~. IZ:O 2-
By
"".
24 hour notice for all inspections (952) 447.9850, f~ (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN' 55372
~
CITY OF PRIOR LAKE
INSPECnON NOTICE
DATE nilE
SCHEDULED
-.l::./~ ~/
ADDRESS
~q03
~//i ~,-)."
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Lf -oa::>~
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
[] FINAL
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
[] EXIGRADlFllLING
[] COMPLAINT
[] flgEPLACE RI
....er-'FIREPLACE FINAL
~LlNE AIR TST
[]
COMMENTS:
1t J-!) o.fV ril ~
~L"~
/' / <<"- t-J
( / j) YC- { (-I- ')
\ ~vL ./
"--- ------
~RK SATISFACTORY. PROCEED
[] CORRECT ACTION AND PROCEED
[] CORRECT A~ FOR REINSPECTION BEFORE COVERING
Inspector: -1-111 Owner/Contr:
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI