HomeMy WebLinkAboutMechanical Permit 04-0638
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
0& _1-).04-
; ~ ~::y I PERMIT NO. 0.1- 0"'3" I
3_ Yellow Applicant ..,. . U
(Please tvF:. or mint and sim at bottom)
ADDRESS
3893 GREEN HEIGHTS TRAIL NW
I ZONING (officeu,,) I
LEGAL DESCRIPTION (ollice use only)
LOT
BLOCK
ADDITION G~;n::r I JT
PID$. /OZ-Jj()8. 0
OWNER
~ame) KAREN ROSS/JOHN GRANDLAND
(Address) 3893 GREEN HEIGHTS TRAIL NW
(Phone) 952/440-7889
APPLICANT
~ame)
RON'S MECHANICAL, INC.
(Phone)
952/445-8585
12010 OLD BRICK YARD RD
. (Address)
L 1I'lm
APPLICANT SIGNATURE f<h~ (\J.){ ~
U
APPLICANT PLEA~E COMPLETE BELOW
ONEW CONSTRUCTION ~PLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL \..Q. vm OX \-\s")( PJI')-o"3D FUEL
FLUE SIZE RETURN OPENINGS INPUT dl/~toYJ OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
(Address)
~HJ\.K()Pl<l<
(City)
M1\I
'i'i'<7Q
(Zip Code)
(Contact Person)
(Phone)
DATE
OWarm Air Plants
OGravity
grechanical
ir Conditioning
Vent. System
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
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 & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit # 0,,"_6(.,38
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3A.c1)
$ .50
$ '-tU 00
~ftice Use Only)
Building Official
Date
I Paid 40. ()(J
I Date (f. z,3: 04-
. ReceiptNo...f7zZ4-
By
A/.at~
I
fhis Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
2?TJ
&"e~
OWNER
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
9,~MBING FINAL
~ECH FINAL
COMMENTS:
4c V~?;{'
/.....t (S~/~ cL
----
~
(' --./
V/lOJ e
DATE TIME
/~r""
;#. 7;/
CJ .y-63J>"
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
.~
)
~/
/-? /e____ ~
--
~RK SATISFACTORY, PROCEED
h ~~RRECT ACTION AND PROCEED
o CORRECT WORK, ~~'}~ flNSPECTION BEFORE COVERING
Inspector: /~r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
DUIW"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!