HomeMy WebLinkAboutMech Permit 05-0085
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
2./. 05'
~: ~~ ~::y. I PERMIT NO. OS'". 00 tt__
3 ' Yellow Apphcant z:;l.::)
(Please tvoe or orint ann ~il!l1 at bottom)
;'L~ DDRESS -- - ~ ZONING (office use)
/ 5- d. ~ (p f GL: t-- L0 G .y H 1-5 ~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2537r,. 03.5", 0
OWNER
(Name)
LJ:vl~uJOOJ
(Phone)
(Address)
APPLICANT ~I \ I
(Name) (--:> \) 'i ~: \'- ~ 10 d l' ~ u ? P '"
(Address) J 3 4D '5 J 5-th f) V-e..fl u'(
Do " (Address)
(Phone)
P J'J YJ10U+ h
I (City)
5 S<;<j I
(Zip Code)
(Contact Person)
710"3 -(p 9'1- Yk~
;)., II
(Phone)
~ ,'- ~ YVtA/l.. DATE
APPLICANT PLE~SE ~MPLETE BE~~W
ONEW CONSTRUCTION 0 REPLACEMENT r5ZI AL TERA nONS
., -rRNACE MAKE AND MODEL Le(\(\oY--.. t=. Dv '10 ~s- FUEL JUCt-{. bc5
,JE SIZE s-lg RETURN OPENINGS INPUT OUTPUT
APPLICANT SIGNATURE
TYPE OF SYSTEM
OWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
DVent. System
HEATING OR POWER PLANT
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
I % 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 $ J bQIJ. 0'0
Building Permit # O~ 008.5-
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PE&.\1IT FEE
$ J fiSV
$ .50
$ ~~.W
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid~
7(/..~
Dated. /. fI.,
Receipt No.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
By fIL
i/~ TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
J5U .-.- Ilfs
ADDRESS 1-u /("1-1 'AI. )"
OWNER CONTR.
PHONE NO. PERMIT NO. z), ~5'
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI ~OMPLAINT ~
o FRAMING o WATER HOOKUP FIREPLACE
o INSULATION o SEWER HOOKUP o FIREPLACE FI L
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
j)r> ~~
I. fl I~
!--iw- I . \J"~~!
LINE WA~ (GUtJ wi
o IV c% / tv'r1 '- 1] l-D 6. P6/V'71I/
"I'":' __../'"
cJ{(~
~ WORK SATISFACTORY, PROCEED
o CORREC 10 NO PROCEED
o CORR CT WO . C L FOR REINSPECTION BEFORE COVERING
Inspecto; ) " Owner/Contr:
CA ~'~-98' ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ'rdREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI