HomeMy WebLinkAboutMech Permit 05-0265
CITY OF PRIOR LAKE APR
HEATING/AIR CONDITIONING/J41KEPLACE P~RM~T
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pate Re~ .'-1.".
7 2005 .;
I
"_._~j
~:~. I PERMIT NO. 05 OZ(P5
Applicant .
L5y-______
I. Pink
2. Green
3. Vellow
(Please type Oftlrint and siRll at b., ..,....)
ADDRESS
/7/1.P() JUJ7riJ'~ Ave < eft W.
ZONING (office use)
KfSO
LEGAL DESCRIPTION (office use only)
LOT q BLOCK ~ ADDITION . )()NS P;{ Ifl(~
. ~
. PID2~ i7z. . 05(;' ()
I
/Coehn /eJc
aY cP/~
~;~~~ANT ~/;l'~ V leal (Phone) tlb;;?-fC!s-/c:;q::;?
(Address) J/&tJ IS I;PI' Rd 7t~/mVi/~, 1L1A/ 65357
(Contact Person) Rl (' l1 l~r;;;t-kr, / /.! - ~
APPLICANT SIGNATURE ~/od,.
/' .
APPLICANT PLEASE COMPLETE BELOW
. ..
DNEW CONSTRUCTION D REPLACEMENT fJ AL TERA nONS {
FURNACE MAKE AND MODEL FUEL n&.."\
FLUE SIZE RETURN OPENINGS INPUT OUTPu1'3a . ~ b\ L\
TYPE OF SYSTEM HEATING OR POWER PLANT
OWNER /l
(Name) rTr-eCt.
(Address) i r tLlJ'l.e
v
(Phone)9b/J-cSl/8-t8d5
(Phone) (9bd-f$-/W:q
~ DATE 3-30-06
OWann Air Plants
DGravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODELMIl j iJ'h'c"
v
o Steam
o Hot Water
o Radiation ( ..
I:8:Special Devices Q d.(5 I fJf<.,
o Other Devices v
~DK3O/2Jlj
PLEAst NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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 ~ CE:
I
Industrial, Commercial & Multi-Family
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Pennit #
oS 6 ZtP!)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ by.t(J
$ .50
$ l\Q . ('{"\
Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 40.00
Date4. 7.05"
Receipt No. .ftG90
By .~
/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
9M5-
/ ~ .
ADDRESS
/ / /~ e (fV ;?r,,~~.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
t!JJ- .-2h..J
o EXIGRADIFILLlNG
o COMPLAINT
.,....8"'FIREPLACE RI
~,.i~EPLACE FINAL
~L1NE AIR TST
o
CONIMENTS: _" /
.1'~,,/h)'~~~! ~..s-""r.f-
~'/h6X _/A~/J # ELJI/I~()
/ /?
/~b $,
~
M/?4
,
'.7
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C/ /"L
~~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK.d5; ~oyEINSPECTION BEFORE COVERING
Inspector: ~~ ~ Owner/Contr:
1/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSIiOTl
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