HomeMy WebLinkAboutMech Permit 05-0495
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
6. z 7. 05
I. Pink
2. Green
3. Yellow
File
City
Applicant
PERMIT NO. 05 041 S'
(Please tvDe or Print and sign at bottom)
ADDRESS
2883 CENTER RD SW
ZONING (office use)
LEGAL DESCR.1.t'nON (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) JULIE SMITH
(Phone) 952-440-1183
(Address)
2883 CENTER RD SW
APPLICANT
(Name) RON I S MECHANICAL, INC.
(Phone)
952-445-8585
(Address)
12010 OLD BRICK YARD RD
(Address)
SHAKOPEE MN
(City)
55379
(Zip Code)
(Contact Person)
LINDA
(Phone)
952-445-8585
APPLICANT SIGNATURE
>t,~Clx~
DATE 5.2l1J-OS
v
APPLICANT PLEAS~ COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL iuiu ~LD g, tI10M {J 1'V"'1'S- LtZ- FUEL fJ ~
FLUE SIZE RETURN OPENINGS INPUT ~ I 000 OUTPUT tp1. t '5tO
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
Oyti!vity
~ Mechanical
OAir Conditioning
OVent. System
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
-?A.SO
- - .....;\50
4-U. VV
'ffice Use Only)
Building Official
Date
Paid tf(J. 0 (j
Date
5.2-7,05
Receipt No.
4f'lJu;,
By ~~
7~ .-
...
fhis 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
t;J;t5 ...
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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 PJ,.UMBING FINAL
~ECH FINAL
65--- ~9S-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: r __
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/:;..~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
REJNSPECTION BEFORE COVERING
Inspector: _____ Owner/Contr:
y
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
II'ISNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!