HomeMy WebLinkAboutMech Permit 05-0365
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
(Please type or print and siltIl at bottom)
ADDRESS
j~r
Lf~ cy d lY ()f{ k-
I. Pink
2. Green
), Yellow
File
City
Applicant
~
PERMIT NO. () I} - 3c:'~'
ZONING (office use)
POlfJt Y)v Sf;
(
LEGAL DESCRu'uON (office use only)
LOT I~OCK I ADDITION
(Address)
7J~yd& IO~
1:1/U;j h: ill [If-,,}'!)
'-119 J vel It HJ)/J'f /Jy . \h
....... '
LLnk/rom} [n~ !!jl~
J~fJlI ) fJ0rf~J
/l (Address)
C;'V1J1S-t t{ I
I
PID 1/01- () /;}..,-{)
OWNER
(Name)
(Phone)
?IS;) ~LILIO- qq ()3
(Address)
APPLICANT
(Name)
(Contact Person)
(Phone)
(Phone) 7 /1<3 ~7C:) )."u){)d
f1huJitt SS ,'J-po/
. (City) (Zip Code)
~J-jdJ ~SUf.J
LfIQ'o5
DATE
k1Jl A)L
f
APPLICANT SIGNATURE
!JJ4diL&vft1iI/}
L/ /
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation Cannot Encroach into
o Special Devices Required Side Yard
.(' I 0 Other Devices Setbacks
_J../JSfhlLtd d~1' l^"f(Ul tl/MLfiJ( /ll}d jW off U4P= .
OWann Air Plants
OGravity
:0 Mechanical
OAir Conditioning
OVent. System
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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Penn it #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
~q,5v
$
$
$
.50
LlUf./ c1)
'Office Use Only)
Building Official
Date
Paid J /. ---
1-7'0 .
Dat~_ Q-05
Rece1/~/3d-'
By (]
U
This 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
Z nME
CITY OF PRIOR LAKE / /
INSPECTION NOTICE SCHEDULED -..f; '.,2# OJ.....
/ 't
,/9,9~-?t:/f!!JT CYv/ ~/
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~s -JGJ./
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
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
_ G 9ASLINE AIR TST
o
COMMENT~:
/J~'V
~ /
C9~.s-ijhe
() /J
c;/er ,b/,r-VC''-
/'
/ // '
r~.s /r (!J,d
As/~y
;/<,~~ ,i,...
r
A
4J /;,?y'-/----
-/
/
/LJ /c
~ (
~ORK SATISFACTORY, PROCEED
~~ORRECT ACTION AND PROCEED
o CORRECT WO~K~~LW REINSPECTION BEFORE COVERING
Inspector: / ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl