HomeMy WebLinkAboutMechanical Permit 04-0211
CITY OF PRIOR LAKE
REA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I. Pink File
2. Green City
3. Yellow Applicant
PERMIT NO. 0 '-/-2711
ZO;Tls1t
(please type or print and sign at bottom)
ADDRESS
5695 BIRCHWOOD AV NE
LEGAL DESCRIPTION (office use only)
LOT / BLOCK 6ADDlTION J~ &AJ~. r1 ~
PID~ S- ~ ~-05I,-o
OWNER
(N arne)
(Address)
RYAN & DEANNA McWILLIAMS
(Phone) 952-233-1404
5695 BIRCHWOOD AV NE
APPLICANT
(Name)
RON'S MECHANICAL, INC.
(Phone) 952-445-8585
(Address)
12010 OLD BRICK YARD RD
(Address)
SHAKOPEE
MN
(City)
55379
(Zip Code)
(Contact Person)
LINDA
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\J
(Phone) 952-445-8585
DATEl3-30-04
;-4PPLICANT SIGNATURE
APPLICANT PL&A~E COMPLETE BELOW
DNEW CONST}\UCTION. '~PJ4~~~~ D AL TERA TIONS
FURNACE MAKE AND MODEL l.;Qy'(\ tV "D 't::L, VfU1V FUEL
FLUE SIZE RETURN OPEN~GS INPUT 3D PDO OUTPUT!1D. 00-0
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants
'~avity
chanical
ir Conditioning
DVent. System
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
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\t..... FEE
$ ?R.6D
$ ~O
$ un.i) tJ
fiee Use Only)
.'\s Application Becomes Your Building Permit When Approved paidL/o", -
Building Official Date DatZl_ / -oL-/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-iA5
16200 Eagle Creek Avenue, Prior Lake, MN 55372
", Rec2!J(;L/tlt/1
By . J-~
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTS 6 r~
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SCHEDULED
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,
ADDRESS
OWNER CONTR.
PHONE NO. PERMIT NO. L/- ;;;1/
[J FOOTING [J PLUMBING RI [J EXIGRADIFILLlNG
[J FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
[J INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
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COMMENTS: f (/ylt(~
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jlwORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT. ~L FOR REINSPECTION BEFORE COVERING
Inspector: -f V!' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
I/IIINOTl