HomeMy WebLinkAboutMech Permit 05-0064
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/. ZOo (J,s'
1. Pink File PERMIT NO
2. Green City . 0 L.. . 00'- 4-
3. Yellow Applicant U IQ
:ase type or print and siJW, at bottom)
I rtDDRESS
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ZONING (office use)
Pr/JO
LEGAL DESCRLt'uON (office use only)
LOT
BLOCK
ADDITION
PID u;: Z,~3. 0 14-. ()
(Address)
(Phone) q7J.-W/J-I7?~A
.B/Arfl~J// 'jjpJJ ./)JJi/ ,g-j31;)
(City) / (Zip Code)
f1Y7Z-P. S (Phone) f{,;<--JY9't1-07~
~~d_ _J( ~A · DATE ~ ;;It/fit '05-
APPLICA~ PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT ~ AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
:SiJM ~ frt/l~D ~rn2 P.f'
{oS--qS- ~ Y3t!-ack
If eo. r fA 'I- fj", I/J1 p~
5
(Phone)
95J - CJ03-ljfltlg
OWNER
(Name)
(Address)
APPLICANT. _ A
(Name) F\ V' Pc' ~-e.
3.E: q- ()
W
(Contact Person)
APPLICANT SIGNATURE
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants 0 Steam PLEASE NOTE:
DGravity 0 Hot Water Air Conditioner Units
o Mechanical 0 Radiation Cannot Encroach into
DAir Conditioning 0 Special Devices Required Side Yard
DVent. System 0 Other Djice~ . Setbacks
FIREPLACE MAKE AND MODEL f1.eaf-/tl-C/(J /11cdt-l: St "15V7AJ-j,pZ
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 Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
BuildingPermit # O!;.OOlP f-
$ 39.bV
$ ,50
$ ro. 0 ()
Estimated Cost $
(Office Use Only)
~his Application Becomes Your Building Permit When Approved
Building Official
Date
Paid ~,ero
Date I. 'ZdJ, OS
Receipt NO'1 e 6SS-
BY~
I .~
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 .,...2/77 ~-
, /
h'S9S-- ~r~r beA
ADDRESS
OWNER CONTR.
PHONE NO. PERMIT NO. t.?5--6 ~
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP ~EPL.ACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL ~SLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ~ / ,_
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'~ORK SA TISFACTORY. PROCEED
~~ORRECT ACTION AND PROCEED
o CORRECT WOR~~~F. EINSPECTION BEFORE COVERING
Inspector: / f//~ Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSIIOTl