HomeMy WebLinkAboutMechanical Permit 03-0966
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIRE-PLACE PERMIT
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS \ S '3 ~?-
~. ~,~ ~::y I PERMIT NO'IJ3-'-?/ /'1
J. Yellow Applicant _ - 7 tt7 P
~I~ fuiVl
PCLSS
~,
ZONING (office use)
tel
LEGAL DESCRIPTION (office use only)
LOT ~LOCK 3 ADDITION
OWNER
(Name)
N\a.-'(~
~
WA~h
WfYI (V\
srl1
Pn..,;>b- 375'- fEO-[)
(Phone)
Q5?-4L(O-7t.f5tf
(Address)
APPLICANT
(Name)
Rurnsville Heating & Ale, Inc.
12481 Rhode Island Ave. ::;0.
!':'lVaae. MN 55378-1122
(Address) (City)
(Contact Person) J LLL\ <c- f\.. _ ~_ (Phone) /
. APPLICANT SIGNATURE ~ lA. ~ ~ DATE I / I g" I 0 ~
APPLICANT'JLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~AL TERA TJONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Phone)
(Address)
(Zip Code)
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants D Steam
DGravity . /l"~ DHotWater
D Mechanical I.)CI'v, - . - 0 D Radiation
f)tAir conditioningc -11 _, [ ) rJ r L-- 0 Special Devices
f]"Vent. System I" "" ..., 0 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
$64.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential. AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
SC(. 50
.50
Y I), 00
$
$
$
lee Use Only)
-r~is Application Becomes Your Building Permit When Approved
Building Official
Date
I Paid 1/0.-
I Date -1-:FJ-/ 5
. Receipt No. \3
JJUk/"
B I .-
~.,
I
\\~
\( \1
,
,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED ,;f~~
l C; ,.~ L ~:';) I-f~ ~ ~C
ADDRESS
OWNER
CONTR.
PHONE NO,
PERMIT NO,
~ - GJ&?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINIlL /'
Jl MECH FINAL IrL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
d/
1 ~.
I
f '"
c.l..;-r 4' 0_ 1-\ At ~ +- :j..P
11/0
,"'M"rl'AJ
IIrr_.<:;c::,
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~' ALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447- 0 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
I!t$IIOTI