HomeMy WebLinkAboutMech Permit 04-0520
CITY OF PRIOR LAKE
H.EAlll~GYAIR CONDITIONING/~lKEPLACE PERMIT
i
Date Rec'd
1. Pink file PERMIT NO~it/
2. Green City .- ; '1 ^
3. Yellow Applicant '?dU
(Please type or orint and sill:n at 1 ottom)
ADDRESS
19-tJ? 0
s:
Sf. !Il1I/-a
ZONING (office use)
Pu-s/J
LEGAL DESCR.u- uON (office use 0 y)
LOT4 BLOCK / .&..DDITIO
yj~
s:fn~
- -a...N ~J -
(phone) -!t 5P. - &>1/11 -rJ? 59
r:< Il~Ylc~I////f?jJiJ#- 6563'_?
~City) , (Zip Code)
(Phone) 9~~- fflf/J.,cJ?6g
DATE /J1 tlrLt2}f; fA iJt./
'-' ,.
PI92~ / / ~ / ~ !J/)L/.-(J)
OWNER 111 ,"//
(Name)~e
(Address) / '10 ? ()
(Phone)!lsJ- qfl6 -o()~g
(Address)
(Contact Person)
~PPLICANT SIGNATU:rn
Industrial, Commercial & Mul i-Family
PLICANT PLEASE COMPLETE BELOW
UCTION D REPLACEMENT D ALTERATIONS
FUEL
ThWUT OU~UT
HEATINGORPO~RPLANT
o Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation Cannot Encroach into
o Special Devices Required Side Yard
o Other Devices Setbacks
IW B ~,L. J all3h J()J J,'-M~j-V~Ji7 Rtf lor 2-
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace $39,50
$39.50 minimum
$99.50 Residential, Additions & Alterations $39.50
$64.50 Residential, AC Only $39.50
DNEW CONS
FURNACE MAKE AND ~[ODEL
FLUE SIZE RE
DWarn l Air Plants
DGrav~ty
o Mechanical
DAir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL
Residential, Heating & AlC (New Constru ion)
Residential, Heating Only (Ne'lv' Constructi n)
Building Permit #
r-.
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ __~q.6b
$ .50
$ L:.ttJ ---
lice Use Only)
This Application Becom~s Your BiDding PermU Whe. Approved Paidl( t' _ ---- Recc7g~'L3
. Date h" ") (Y~ J C B~
Building Omcial II Date C:::J (71 {) Vf
24 ~rur notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Cr,rY OF PRIOR LAKE
IN: ~PECTION NonCE
SCHEDULED
A[ IDRESS
/Y'tJ7tJ
~ 1<; t" r
v
CONTR.
OEER
P ONE NO.
D S:OOTING
o ~OUNDA TION
o =RAMING
o INSULATION
o FINAL
o . SITE INSPECTION
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE
~~~
cS~
TIME
C'J </-S;:/??
o EXIGRAD/FILUNG
o COMPLAINT
1R'1:IREPLACE RI
/iJ'FIREPLACE FINAL
~SLINE AIR TST
o
cd>MMENTS: _ / .
: ~*'/. ///-.G70
;~~/ ~....?~-~
II - -
/.1 .-... ./
_---1/ ,- ";..7)..<:; ,?- C /~..r"'~c.."tL
II. :.~;4Y; ~~
~-5':- ~r T~r d^-
II ~q!d'4~ - <:J4 ~ ,~ ./
~ ~ke~ r? ~~(L'a
/
45)~
~('-
~;ORK SATISFACTORY, PROCEED
o (:ORRECT ACTION AND PROCEED
o (I\:ORRECT WORK~~'::O~PECTION BEFORE COVERING
Ins~ctor: /~.L((L.. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1NSJ<<JT1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI