HomeMy WebLinkAboutMechanical Permit 04-0408
CI I i OF PRIOR LAKE
HEAlING/AIR CONDITIONING/FIREPLALE PERMIT
Date Ree'd
(please type or t' ..:....t and sip at bottom)
ADDRESS
4576 EMBASSY CIRCLE NE
~: ~ ~:~ PERMIT NO.1} I J / i_/ J () Q'
3. Yellow Applicant 1/'1 L{ ~
ZONIN G (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
DON HUWE
(Phone) 952-445-0843
(Address)
4576 EMBASSY CIRCLE NE
APPLICANT
(Name) RON" S MECHANICAL ~ INC.
(Phone) 952-445-8585
(Address)
12010 OLD BRICK YARD RD
(Address)
SHAKnPF..E
MN
C)1:)~7Q
(City)
(Zip Code)
(Contact Person) LINDA (Phone) 952-445-8585
.~PPLICANT SIGNATURE ~~ r~ DATE S ~ (0-04
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT D AL 1 bAA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
grechanical
ir Conditioning
Vent. System
FIREPLACE MAKE AND MODEL \tnno,c
o Steam
o HotWater
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
\-\8t]JQ.. 000
2.'/'240'1
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % 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 P"Huit #
~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\t.u. J. J:4.I!JE
$ 2A.SO
$ .50
$ ~
lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid l/~;---
Date ff ,. '1-lj
ReceiPtlJh! 11
B& ~'
J .
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
DATE nMe
CITY OF PRIOR LAKE ~-Ucr
INSPECTION NOTICE SCHEDULED
ADDRESS l-tS7c bM~ CC:"-
(
OWNER CONTR.
PHONE NO. PERMIT NO. 6-(-- C[dY
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~-
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~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
[] CORRECT, ~~ FOR REINSPECTION BEFORE COVERING
Inspector: r /I~./ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/ISNOn