HomeMy WebLinkAboutMech Permit 05-0619
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGlFlREPLACE PERMIT
(Please type or print and siJt1l at bottom)
ADDRESS
155'2 & ..y/~J (!A/(.e.u;;
,-re:
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER 17 . /J /'
(Name) 1\ iLil/Md ~ ~~ c.::>-e;~~
(Address) / S'St7{p 5n:.rN1l u'fde C7~
APPLICANV' . fh IJ..1 ~ I _
(N ame) ~ 1M J If J&tl!f/
(Address) q/~
~#k3 k
,
Ik/;~
h-b~
- (Address) I
(Contlct per.;on)./)r, ~
APPLICANT SIGNATURE
,/JI
I. Pink File
2 Green City
J. Yellow Applicant
_ (Phone)
Date Rec'd
~. 30~ O~-
PERMIT NO'OSO&/91
,
ZONIN G (office use)
-
PID 25 . 0'1 f. () 10_ 0
(Phone) 9~-iff02-33'77
< ~r~ ,uJ
(City) (Zip Code)
(Phone) tj 7,;1- --#iJ- .3 -y; '1
- ug,..;;J-t:J-' 1'?j~'B
DATE
v/3P/~5
-
JII1/ -553::7..2.
~ APPLICANT PLEASE COMPLETE BELOW
. de!../' DNEW CON~TRucnON 0 REPLACEMENT 0 AL TERA nONS
FUR~ACE MAKE AND MODEL vnnp ~ bU/fr1fJ - ?U.6 r- 70 FUEL fila/- ~,
FLUE SIZE r?" /Jilt.- RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Permit # () S. {j {; 19
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential. Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office llse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$
$
$
:3 q, SO
.50
41J. (fl)
Paid 4-U. d(J
Date to . .3 (I. Or
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No. 441/7
By L/LiY
/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/S-5:2k
s;4 /J'l
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
~CH FINAL
DATE TIME
~~5
Or
c:J S--b/?
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/
r- me':
~
/' /\ r/"} ./
/~e~ p;,pr... i- t/~-c/-
~ / {CJ.e-,~s /7.h-;- ..JZ6~?J?'l~>Q _ ~
.2 p~;, c y-~~ra/V ~I+: ;9"~/'
- , , / / .
-~ ,,/" ..... /
/-L7~/~ ~~~ /f{f CJ~
#/C 0/:
COMMEN]S: ./ /1
~~kc ~ d -t-~~c e
, I
.
...4--~~ 1("
/
ore
~ORK SATISFACTORY, PROCEED
~~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI