HomeMy WebLinkAboutMech Permit 04-0808
CII 'f OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
g.. 'l".-()4-
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~: ~ ~~~ PERMIT NO. ()A_" Od 0.1
3, Yellow Applicant or-. fJ C/
~ase type or print and silm at bottom)
ADDRESS
2730
Pe,.sh I' I')~
ZONING (office use)
-S-frr e f- ..s. w .
LEGAL DES~tr uON (office use only)
LOT3 '1 ~OCK ADDITION
::z:: -/IV a U CLd O!/Ci-- B ea-d PID"t.. ~ () fro () 2.1, ()
J
l>an ;<. J B1l'r1 wetl J
(Address) ...3 '73(") Pe r.sh '.Il'j Sfree+ S. W.
APPLICANT /"'I ' I ,-' "/I r """T~c..
(N .me) LV.... '" I · ~ N ~ a ,..l1 .. 1'1: r- -..)l> r,,: <~.c1Phone) J.{ 0 3 - ( I ) 1>
(Address) I J. q I J.. \'} 12ALY-u f'~ eOlJ ,.. + #02 , SllILktJ (l ~ 'f!!.. h) S- ~ 379
(Address) (City) .J (Zip Code)
(Contact Person) ~".b I? c::. 2..et.c:' (Phone)
t?~'-
OWNER
(Name)
(phone) C)S~ - ~'10 ...;),~31
?r;'f ~a.K(I mJ
,
APPLICANT SIGNATURE
~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION [g1ffiPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL Fbyne.. ps. 9 MilA {J.;J'IO'/() FUEL .Ala-fu~a.fL
FLUE SIZE e/2 &.f RETURN OPENINGS 5" INPUT .y61 OD 0 OUTPUT 47oDO
,
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants 0 Steam
o Gravity 0 Hot Water
o Mechanical 0 Radiation
~ir Conditioning 0 Special Devices
IBV ent. System 0 Other Devices
DATE
8', ~-Do/"
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PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % 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 $ J SOO. If1}
"
Building Permit # Of-, , 'Q tJ
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.39 S17
.50
~D . t1D
(Office Use Only)
",--
"his Application Becomes Your Building Permit When Approved pai~.. v1J
Date, Date ("~ ' ,f,J ~
Building Official ~ K . ,... y--
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Recei11o. tf15Jr[L
;1'
DATE TIllE
CITY OF PRIOR LAKE ,~ / - /. /
INSPECTION NonCE SCHEDULED . ~/r p~ '
,/ "
ADDRESS JZ?D 4YQ~~f' J/
..->-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJy'...POjY
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL ~UMBING FINAL
o SITE INSPECTION ~~CH FINAL
COMME~S: / / /7 ./
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~ORK SATISFACTORY, PROCEED
a ~ORRECT ACTION AND PROCEED
o CORRECT WO~K;YY- E' REINSPECTION BEFORE COVERING
Inspector: /' ~7 Owner/Contr:
. v
CALL 447-9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IIGNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/