HomeMy WebLinkAboutMech Permit 05-0526
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and SiM at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER F'
(Name) l -, \~
(Address) \S~LlC::;
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APPLICANT
(Name)
RIIRNSVILLE HEATING & AJC, INC.
3451 W. Bumsville Parkway
5..~,,~S)
Bumsville, MN 55337
(Contact Person)
APPLICANT SIGNATURE ~ ~ 1. .L1f'tl AlA .r1
(Address)
Date Rec'd
ro.fR 05
~. ~~n ~~~ PERMIT NO. 05. 0 52-~
3. Yellow Applicant
ZONING (office use)
S~
PID Z.S-JS 2. . 00 I. ()
(Phone) l 01 J ~SCV to lCO
SE..-
(Phone) ~ l. -~Ll-oOOS
(City)
(Zip Code)
(Phone)
DATE 5-31-05
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL 0..n1UN'- 4..& J tnfV31.p 16-() /0 FUEL .D:1J"- CUi A .J
FLUE SIZE RETURN OPENINGS INPUT l(Ur.tl OUTPUT fJ13. a;o
TYPE OF SYSTEM HEATING OR POWER PLANT
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
DWarm Air Plants
o Gravity
o Mechanical
~
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
Residential, Additions & Alterations
Residential, AC Only
~
9.50
Estimated Cost $. ~. C()
Building Permit # () S. 052-"
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
'mee Use Only)
fhis Application Becomes Your Building Permit When Approved
Building Official
Date
$ 3Cf.-5D
$ .50
$ I_U.). 00
Paid 40 .0 0
Date h. ~. OS-
Receipt No. #34q
By ~ I
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
DATE TIME
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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 PLUMBING FINAL
~ECH FINAL
O-s- ~S~
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
CO'#ftENTS: /"
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(~ORK SATISFACTORY. PROCEED
~ r~ORRECT ACTION AND PROCEED
o CORRECT WO..:> ?UR REINSPECTlON BEFORE COVERING
Inspector: ///~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY!