HomeMy WebLinkAboutMech Permit 05-0118
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and sign at b~~,,~)
ADDRESS
5500 C..ud..cu ~cL G\. ~ G
LEGAL DESCRIPTION (office use only)
LOT) BLOCK I ADDITION Sf\1'JD PO (~
OWNER
(Name) ~\.p ~ r-o.ce.f"t
(Address) S~ Cbc\cur'LLY'rd~\ . ,-JE-
APPLIC;ANT .
(Name)\ 0 "-(Jh\er~ '--~ cH'\.~ rlp) l-\Tq'
(Address~Q~ L0. lL-k.~~._ * ~
(Address) f
(Contact Person) c-f.... ~ _ I.
APPLICANT SIGNA TU~ Q.heu:P {,J.:dJ.-v. ,. --
Date Rec'd
Z ,(( .05
~. ~~n ~:~. I PERMIT NO.OS 0 110. I
3. Yellow ApplIcant . l/
ZONING (office use)
PuD
PID 2.S": 2-1~ COl. 0
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(Phone) d.3~ - 3~
(Phone) ~ -L.\~'- ~7C:rlq
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I (City) ) (Zip Code)
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OJ
(Phone)
DATE cd U
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION '~PLACEMENT 0 AL TERA TIOl'{S
FURNACE MAKE AND MODEL Cur Ii Lr: ,(:) R CT A OQ() FUEL~Qtu.rCLl
FLUE SIZE "- ') I( RETURN OPENINGS INPUT~/~ OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
Q1c-
~~L ~ MAKE AND MODEL C Clrr, --c..x-
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
~ ' Jd-. -\-or\ -3 9:.-r2A-o'3.0
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $l.c{:)~
I
Industrial, Commercial & Multi-Family
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
.........Residential, Additions & Alterations
Residential, AC Only
Building Permit # Os.. 0/1 e;
$
$
$
~.5a
.50
'-tD~
Paid 1--0. {flJ
Date 2 .//. o~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
$39.50
$39.50
$39.50
Receipt No. a
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By ~'""-
/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
. ~SO()
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
C_MEN.TS: I
/~i!/J/d-C~
1/7 I
/~- t'! ,)U e- r1
DATE TIME
SCHEDULED #~--
~c4F~ooJ 8/-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~FINAL
~~
/-V/A'~L~ ,L
os--//r
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~RKSA A~TO~y,PROCEED /
o CORRECT ACTION .,"" ~
REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
y
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
/NSNOTl
Jab AddreI8
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