HomeMy WebLinkAboutMechanical Permit 04-0390
CITY OF PRIOR LAKE
HEA TING/ A TD r<",....TTnTT","'n"'Tr< IT.'TT>~~l,ACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-05
Date Rec'd
5. 2-0,04-
" ~:~ I PERMIT NO. 0 A_ (), ?001
ow Applicant ,-"' J/l
(Please ~ or Drint and sism at bottom)
ADDRESS
lo;)7r? - 15O-ttJ S+ s €-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
J t'IYJ ]?y. ( /( ~
I;J./~- /S'7)-J;!;
s+s~
(Phone) CJ5.>-l/4D-9/32
(Address)
APPLICANT
(Name) Bilffi~lI~ foIut1ng & Ale. LLC
124111 ~hod.181Ilnd Ave. So.
(Address) 5elJi!l~ U~I O:O:':l7R.11??
Jl.ddress)
(Contact Person) 0' ril1...
APPLICANT SIGNATURE ()}APL:AfI.M/1(.Lf1 Ci./J
ZONING (office use) I
PID
(Phone) qc; 2. ~ t..{- ()(ns-
(City)
(Zip Code)
(Phone)
DATE 5-/ J-ol.J
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 1jtREPLACEMENT . AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
D Steam
D Hot Water
o Radiation
o Special Devices
D Other Devices
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
IilJYent. System
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi~Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residenti~l, AC Only
Estimated Cost $ JUOD E5?
BuildingPennit # ocf.a:J90
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ . qc;.SO
$ .50
$ Uf') . (')0
lice Use Only)
This Application Becomes Your Building Permit When Approved
pai~. C/O
Date
. 5, Z{) d-l-
Building Official
Date
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN S5372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
.lli]b
$39.50
ReceiP4?:!44-'
By cr
/~-
, "
/J2Jft .r/
C/lY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
M7/
CONTR.
PHONE NO.
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
D' ""CH FINAL
-
nilE
~- J'7o
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/~k~'/ /2e~ ~#'70 X
;Z~q ~ RecP(./-e"/ ~.Y ~,/;,;zY"
/ .1..,/:/ ~e<rl'.r .~. ,6 p
/~,s~/~d L/er deA. '/ __ CA.-
p~ /0 W' /..4s74//9 J!;)..... ~~QI
I/' I
C;{
A WORK SATISFACTORY, PROCEED
/ ;;'cORRECT ACTION AND PROCEED
o CORRECT WOR~~ C~';.7 RE1NSPECTION BEFORE COVERING
Inspector: ~ ____Owner!Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
uaNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!