HomeMy WebLinkAboutMech Permit 05-0614
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
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~. ~:n ~!~. I PERMIT NO. OS- 0,,/1/--
3. Yellow ApplIcant .
(Please type or print and silm at bottom)
ADDRESS ZONING (office use)
14319 Shore Lane N.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) Kevin Chindlund
PID cs, 2J J. 6?J. 0
(Phone) 9 5 2 - 21 2 - 3 1 7 3
(Address) 14319 Shore Lane N. E. Prior Lake. MN
55372
APPLICANT
(Name) ()llali ty HeFl t-; ng & Air S@.J:Y.iCPR _ Inc_
(Phone)
Q,2 - 401-1110
MN
55379
(Zip Code)
(Contact Person) Bob Rezac ...-,
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT D AL TERA TIONS
ALC
fxr~~~~EMAKEANDMODEL r""rr;or 38TXA024-3 FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Address) 12912 Ventura Court Suite 21
(Address)
Shakooee
(City)
'-PPLICANT SIGNATURE
DATE
952-304-1110
~/dl7/nS-
(Phone)
TYPE OF SYSTEM
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
OGravity
o M~anical
~ 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
$64.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $ ,.:;.,;? J/ .? 00
1J.f. 0 (, If-
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
J'9.$"D
.50
</O.DQ
.fice Use Only)
This Application Becomes Your Building Permit When Approved
Paid 10. uO
Date 6t. z/. ~ t
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No. 411/ I
BY;k
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~
J: &
TIllE
ADDRESS
/7/J/9 dy~ /~A!'~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
C FRAMING
o INSULATION
o FINAL
C SITE INSPECTION
o PLUMBING RI
o MECH RI
C WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
u-:-~/<;/'
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
C FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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~ORK SAT~RY, PROCEED ---"
~ORRECT ACTION AND PROCEED
C CORRECT WO~~ ? FOR REINSPECTION BEFORE COVERING
Inspector: /R/ ~ Owner/Contr:
y
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
/NSNOn
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH cl SAFETY!