HomeMy WebLinkAboutMech Permit 04-0675
......
CITY OF PRIOR LAKE
ltEATINGfAIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File
2, Green City
3. Vellow Applicant
PERMIT NO. (Jf - ~ '7 i
(Please tvDe or print and si2ll at b. .". _.)
ADDRESS Q..c:..,-.....()
~.....LJ'1 lDi l \ Du.) ~.c.J""'\ T r\. s..J
ZONING (office use)
1<1 S.b
,
LEGAL DESCRIPTION (office use o~y) ...-
LOT I BLOCK 4 ADDITION IJJ ~ fj:r
,
PID;2S -IO~- 0 ;J-q-(j
~'::e~R ~~ 'cr ~~ -:PCC~
(Address0t:::r'A WI'\~J ~rh ,rl. SLU
~~;~i~---n\ero ~Th~d~-t-i~. (phone) q~-L\-a- ~~Q
(Addressl-M8:J W. '~-k.~-4b.... G. -=*-~ Qr+::iP. LY' l \ -PI '\ 551 ~
(,\\ddress) 7 (City) "--J (Zip Code)
(Contact Person) 't::cl.n ~\--e.ro (Phone) qS~ -431 - 7ct:J q
APP~NTSIGNATUREl()~"12-~ DATE ..b-~~-o-i
/- /' ) '\ ~PPLICANT PLEASE COMPLETE BELOW
"
( DNEW CONS1fRUCTI.ON R. REPLACEMENT 0 AL JERA TIONS
'F:-P-1L"JU. MAKE AND MODEL CJb...nr( Lr -... -=)r\ ~ -~ ~F~
SIZE RET4RN OPENINGS INPUT OUTPUT
TYPE OF SYSTItd HEATING OR POWER PLANT
(Phone)~ -4-l ~ - Y""]LJ43
OWarm Air Plants .
o Gravity
o Mechanical
OAir Conditioning
OVent. System
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
FIREPLACE MAKE AND MODEL
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 & AlC (New Construqtion)
Residential, Heating Only (New Constructi~n)
$39.50
$39.50
Estimated tost $ ~,~~
': /
Building Permit #
~
. 'lice Use Only)
,ifJEA TING PERMIT FEE
ISTATESURCHARGE
TOTAL PERMIT FEE
$
$
$
2q, ::x:J
.50
4O~
Building Official
Date
Paid .J I ---
~O.
Date 7-~-o4
Receipt f/1 LI {) /j
By 8 ..,
Chis Application Becomes Your Building Permit When Approved
; ,
24 h~ur notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
~#-
.sscJ? M~,-&~ /r/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
[J FRAMING
[J INSULATION
[J FINAL
o SITE INSPECTION
COMMENlTS:/
~~~
~ .
~
r ~~~~
SCHEDULED
CONTR.
PERMIT NO.
I!?r'-G l'" S
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
pECH FINAL
//
~/C
?
[J EXIGRADlFILUNG
[J COMPLAINT
o FIREPLACE Rl
[J FIREPLACE FINAL
[J GASUNE AIR TST
o
~
~r"'//
/)
- ~/C__
,4d(,/,r ~~7)tAtJSCJ~J~
~ A I
{/~ L5/~_,.L~ ~
A
(9/L
~RK SATISFACTORY, PROCEED
;{; ~RREC-n ACTION AND PROCEED
[J CORRECT WO~K~L5PR REINSPECTION BEFORE COVERING
Inspector: Jr~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOn