HomeMy WebLinkAboutMech Permit 05-0749
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. :ir:~n ~!~ PERMIT NO. J1C' _ 71.1'-/
3. Yellow Applicant U::..I . t #1
(Please type or print and siWl at bottom)
ADDRESS
/6:009
#;dcu,'et-J
ZONING (office use)
LEGA~ DESCRLt'nON (office use OnlY);;; / .. '_ -Ie
LOT.;)BLOCK (ADDITION ~J A\~ 3
fk.WNER fS" J I' .
\(Name) c...o... ~ Itu,rl
t ~ ^~q ?~~~eW
PID 3/10 - OJ;)..
(Phone) ~11- frt ~ -lq ({3
l\~_
\
'~PPLICAN'b f"""
(Name) <;F)1.leIA."\\I:Jl\le- :5'iOtJC!O '\- rj ~~ 'fjhone) q:l:;{ ''iI''l'il' -tl7<i
-t(Address) tA.1fr U t:2c1 I-L:l.. w ~ <5237
l' (Address) (City) (Zip Code)
(tcontact Person) J..ln IR.\.t\A 1)o.lr"' ~6 v\ (Phone)' :< A \U.. .0
. oPLlCANT SIGNATURE /(JIJ.A.u-. Q;:t;~ F-TE 8"- ~ -t):5'
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~~L FUEL J4::;
FLUE SIZE 1./.... 1. RETURN PENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
(Address)
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
-- --~ -
< FIREPLAC~ J\1AKE AND MODEL
--- ,.../
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
M~\os~c:
~
hVOUD S '"S
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 Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
-
Paid 1(6.,
Date -
g'~ J - ~
Receipt ~tj7'7 9t..f
By ~
,fiee Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
SCHEDULED ~~~~
~r~ul ~ Lv
ADDRESS
~J~9
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
g-- 7~7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
.,...Iit"'I!iREPLACE RI
~EPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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~_.~.- - ------
~ ~~~FACTOBY PRSel!eU
o CORRECT ACTION AN~ PROCEED
o CORRECT WO~K; ~VOR REINSPECTION BEFORE COVERING
Inspector: b7 ./ Owner/Contr:
. V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI