HomeMy WebLinkAbout04-1120 Mech Permit
/7/J/oY
, .
/S 3/0 ~;;~"'..s Ar.F
/'
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~CH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
or'" - / /ftJJ
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~LlNE AIR TST
o
., ~// / /'
.?S'/~ /T/~ ~r 7' cJ ~ I
6;;;~h-e, It/' cb-;;~~Cj~ ~~ L,
#c,ffr ~ ~
/~
,/
O/t"
/!cv, /e- U/~Y-,,( a-
t!?4'C 4 e.ez / o~ /A
~~/:;,~ (
~ORK SATISFACTORY, PROCEED
;G CORRECT ACTION AND PROCEED
o CORRECT WORK, ~~Y~EINSPECTION BEFORE COVERING
Inspeelor. ft/ff /"'""-' Owner/Contr:
. 'C;
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
INSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
10. ~e~04-
L Pink File PERMIT NO
2. Green City · () 4-.. II Z. 0
3. Yellow Applicant
:ase type or print and sign at bottom)
ADDRESS
\S3\ 0 '- \dr-u~
9~ss
ZONING (office use)
1<.,1
LEGAL DESCRIPTION (office use only)
LOT I c1 BLOCK ~ ADDITION /26GJ,tI L, CA6~ I
PIDZ-S: .38~.. O"3~ Q
OWNER
(Name)
''LL-\e '~lJS;~
\ S~ \() .Je-Q-=QJ'~ ~<s
(Phone) ~~L -YloO-lol.( ~ (
(Address)
APPLICANT
(Name)
(Address)
fWrnsville Heating & AlG, LLC
12481 Rhode Island Ave. So.
~~'la.ge_ MN 55378..1122
(Address)
(Phone) ~L- ~Ct~-~
(City)
( Zip Code)
(Contact Person) (Phone)
APPLICANTSIGNATURE (1~'J ,-BJ1p/Ul~ DATE 10-;;)[r;-(',]L/
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~AL TERA TIONS
FURNACE MAKE AND MODEL C{.u1l1 <if h 0& k,. ~P-I.J?O FUEL w..-f 90 s;.
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
~ Other Devices 9fi/l~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
. (Required Side Yard
~ rSetbacks
FIREPLACE MAKE AND MODEL
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
~
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\'lll FEE
Building Permit # () ~I /1 ZO
$~~q.OO
$ .50
$ ,.~,5D
Estimated Cost $ I;J (If)) LX?
(Office Use Only)
"'his Application Becomes Your Building Permit When Approved
Building Official
Date
. pai~9. 60
Date .., t.I g,A --'
/0. ~V" .,.--
Receipt No. ~'~z,,()
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
BYp
-......