HomeMy WebLinkAboutMechanical Permit 04-1244
CITY OF PRIOR LAKE
REA TlNG/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/Z, Zl,04-
;=, ~::y I rU<.1vIITNO. M-'Jz.~1-1
3. Yellow Apphcant 7 .
:ase ~ or mint and si2l1 at bottom)
I" .DDRESS
ILj3 'In J..n/r::.
IJ // (J
I ZONING (officeu,,) I
. LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zS: 12."2.... 007.0
OWNER
(Name)
(Address)
J(,,-~ 1'\ 1!l.1tI Jov'\
) 4 '3 4 0'
1,,/1 ool-
/.... n J' '\ IJ (j (1/ ~ f?ua.r L~ k 4 ,
}-J fJ(1.V' fJ.. Cf- ~ '!.... (Phone) 9 l).'l-~ -(]") ~ '
U./ .' (< {J/).rhf/lJ/e J;n 'yJ.!, '7533~?
(Address) (City) (Zip Code)
5" (Phone) Cj 5 ;J -5(9t/-(} 7L.-$-
-1- /I/I.Jb' DATE ---'l/l t:.:1-1 1./Jt:J
(Phone) Q J,}. -l/V7 ,(JtJS-:S-
, APPLICANT !
(Name) (:' i -r-.jJ <'1'(; e.
(Address) ~ >r S ()
(Contact Person)
. APPLICANT SIGNATURE
APPLICAN PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
fURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVen!. System
HEATING OR POWER PLANT
FIREPLACE MAKE AND MODEL
D Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
D Radiation Cannot Encroach into
D Special Devices Required Side Yard
D Other Devices Setbacks
fI. &- i-=::.1l/- C...J 11 /J1orlo(; SLC;:~1 f) ~
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit # () 1-', /2- f'p
Building Official
Date
$ .s 9, 50
$ .50
$ 4v.(/lJ
Paid
ftJ J))
Date I
I~ ,,&-1./
Receipt No. cfn /
AfIi./ /
BY;,,--,
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
"his 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
/71'59'0
~"j
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
o PLUMBING FINAL
o MECH FINAL
i~y'
~e
TIME
L/ - /,,2.L/~
o EXIGRAD/FILLING
o COMPLAINT
~EPLACE RI
o FIREPLACE FINAL
~LINEAIR TST
o
COM~E)lTS: / ' .'
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f'L? fr-
~KSATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~f> /R REINSPECTION BEFORE COVERING
Inspector: / ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.-0'1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/