HomeMy WebLinkAboutMechanical Permit 04-0053
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PE.RMIT
Date Rec'd
2.4- 04-
(Please'!ype or orint and silm at bottom)
ADDRESS
; ~';, ~:~ I PERMIT NO. 0 1-. 0 ,-, C?I
J.Yellow Applicant ~
/6 Z 72-
I ZON~G/(Offi"use)
Ff::1/IUA/rry )-ffS ;eo 1'--
LEGAL DESCRIPTION (office use only)
LOT II BLOCK Z ADDITION ~ nrtlvJJ
l?'f
OWNER
(Name)
!2tdlW I
I
i KalhlUrl
l'\c("M/J...
LUI<.1'..Y
d
(Phone) 15), -dJ/n-/~
(Address)
APPLICANT
(Name)
(Phone)
PID ZS:- 37("
,
D17~
(Address)
~SS)
(Contact Person) I /) ,.('). _ (Phone)
. UPLICANTSIGNATU' 2luf).cl_J..J!.Je:fXlL DATE ~ -4-,Jt.J..'I/
v 4PPLICAN~ PLEAS~ ~OMPLETE BEL~~
DNEW CONSTRUCTION, 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL A- /(1 -"" FUEL
FLUE SIZE RETURN OP~INGS INPUT OUTPUT
(City)
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVen!. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
-I'I:'.EFI:.I.::::E MAKE AND MODEL --'2./11M 6Jl::; (/jJ/ / /ff/(
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 Ooly
Residential, Heating & Aie (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit # 0 -1-. O()S]
$ 3 tJ .!;;JLJ
$ .50
$ 4-0. () ()
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Jffice Use Only)
This Application Becomes Your Building Permit When Approved
Pai~.
'r{/ vi7
Dal. 4.. C 4--
Building Official
Date
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
(Zip Code)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Rece~~._
By
~.
o
l
I
/
./
/.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
tc; '1. 17,
DATE
SCHEDULED ~
h,'r,,,'"1- ~(k.
CONTR.
nME
OWNER
PHONE NO.
<{ - SJ
PERMIT NO.
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 FINAL
flf MECH FINAL II c.
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
,
Uu.
{\,
1-d p
(\ [OCJ
'-
!I~ ;,,1. Arr~<;;c.
Ji WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~. RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ! t / Owner/Conlr:
CALJ 147.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOn