HomeMy WebLinkAboutMechanical Permit 04-0463
CIl 'f OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File PERMIT NO
2. Green City · () L! - L/i j : l
3. Yellow Applicant --, . . 6::>'1
(please type or print and sign at bottom)
ADDRESS
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rna/hi-zch.h cS-J
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT /6 BLOCK ~ ADDITION
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OWNER
(Name)
(Address)
-Jrj lw
4q.Q7
mo 1. ,;(
(fJtLJ\-hnd() fp>
(phone) 95) -4!:I\-529,k'
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APPLICANT
(Name)
(Address)
Burnsville Heating & Ale, LLC
1248-1 ~Rod8 Island AVA So
Savage, MN 55378-1122
(Phone) CjS2 -kEY-{)tx)~'
(Address)
(City)
(Zip Code)
(Contact Person)
6'~ ~JJ
~APPLICANT SIGNATURE (/iLL \.. 2)
(Phone)
DATEB-/3 -0 (j
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OU 1 t'uT
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
:J Mechanical
NAir Conditioning
DVent. System
HEATING OR POWER PLANT
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
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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)
$~
139.50 J
Estimated Cost $ ../26D I 00
Building Permit #
I~
mee Use Only)
This Application Becomes Your Building Permit When Approved
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PEDu.l FEE
$ ,13,50
$ _ .50
$ I./D, CXJ
Building Official
Date
Paid '-Ie; _ ----
Datea--//7_ ~
Receipl)lt R ~ ~
By
9
(/)
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 S.,j~ .,11./
INSPECTION NonCE SCHEDULED
ADDRESS Lf q t( ) /l1 (;; h '" J~ (" ~l
,
OWNER CONTR.
PHONE NO. PERMIT NO. 4-'1( ~
o FOOTING o PLUMBING RI o EXlGRADIFILUNG
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 GASUNE AIR TST
o SITE INSPECTION o M~ FINAL 0
COMMENTS: /f:(
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~ WORK SATISFACTORY, PROCEED
/~ CORRECT ACTION AND PROCEED
o CORRECT ~RK#9'R REINSPECnON BEFORE COVERING
Inspector: -1-JI ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
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