HomeMy WebLinkAboutMech Permit 04-1221
10:52 CITY OF PRIOR LAKE 9524474245 P.01/01
CITY OF PRIOR LAKE Date Ree'.
HEATING/AIR CONDmONINGIFIREPLACE PERMIT :105-011
IJT
$40.00
i=. SI_t I PERMlTNO.O?/-/~
1 ~~::~~:; M~ S~ I ZONING_~ I
LEGAL DESCRIPTION (oma use only)
p-f oJ.. 1 .
LOT -BLOCK ~ ADOmON
o PID';:>S-- j/,?/7-
I
OWNER.
(Name) H-ou D A '/ CoM PAN I E. s:
(Addless) 4rs iD I A tJ\ t. (2..( CA t-J B l- 0 D
(Phone) q5~- 0'30- ~g90
uJ I BLOOr-'\I,.JGmN/ VlN 504-37
APPLlCANl' J
(Name) '( A-lk MG-U-fA N \ CA:t--
(Address) C}b4C(G,l /'ZA-RD AV~ S
(Address)
(Contact Person) TV D D ~r; L.LE-
APPLlCANTSIGNA1'URE ~ ~~
(Phone) q5.,)..-~g+-100 \ ,
BlCOrl/N6TbN. MN t:>54-31 )
,
(City) . (Zip COdeV
(phone)
DATE
Id--~-OY
"PDI~ ONEW CONSTRUCTION ~ REPLACEMENT o ALTERATIONS
FtJ.R}JAOE MAKE AND MODEL H VlN{ 1+ k./ N I Cfcr H FUEL NAlU.ML C1A. S
FLUE SJZE 3" RE11JRN OPENINGS &., INPUT ImQO 13T\...( OUTPUT ~LfCl,ooo 6TL<
TYPE OF SYSTEM It '''It Ft~)
HEATING OR pom LANT
OWarm Air Plants DStcam PLEASE NOTE:
OGravity ~ Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Spcc:iaJ Devices Required Side Yard
OVent. System o Other Devices Setbacks
fIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
FRESCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential. Gas Fireplace
$39.50 minimum
ResidentiaJ, Heating & Ale (New Constnlction) $99.50 Re.~idential, Additions & Alterations
Residential, Heating Only (New Construction) 564.50 RcsideJItiaJ, AC Only
$39.50
$39.50
$39.50
Estimated Cost $ .;<., 600. 00
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
3Cl, 50
.50
4-0,00
.-qmce Use Only)
.'bis Application Becomes Yoar Building Permit WIlen Approved
BV11diog omdaJ
Date
?.4 hn.... Mfa,." tor all ihllDeetlOns (952.) 447-9850. fai (952) 44'7-4245
Paid ___
~.
Date I) ---c;-
TOTAL P.01
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/h6&C> ,d..11~f'h
.
OWNER
CONTR.
;;;~
TIME
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
~/
. ,/er
COMMENTS:
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~dV~~
.
~CX)
)
o WORKSAnSFA Y PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL Fa REINSPECTION BEFORE COVERING
Inspector:
CALL 447.9850 FOR THE NEXT INSPEcnON 24 HOURS IN ADVANCE.
INSNOrl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI