HomeMy WebLinkAboutMech Permit 06-0037
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(please type or print and sign at b~~~_._)
ADDRESS
6Lf3 '2J) /J'1JJj1b ~ tr 0_ i l
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Bftc!
IliR; () /J10j2k (Yet /' !
APPLICANT \ ~ - t IA'" II.
(Name) F\ Y' e. ~ ltblL ~ - f>~ l ~ Yl t=..lt11111I?,
(Address) /4:3 9 Ct 1ft ffu I( ,t , ''':910 VI * (J
~ (Address)
(Contact Person) J;Z \{-2- __._.lii'l/1 "
..APPLICANT SIGNATURE I. CV~_/
OWNER
(Name)
:f-p 'f (1 Wl ()
(Address)
Date Rec'd
/. I~() (p
~. ~ ~!~. I PERMIT NO. ()l_ 00371
3. Yellow Applicant lQ .
ZONING (office use)
PID zS: /38. O()z" 0
(Phone) C?5 :1-LiLj 0 -f:JraaE
PI' / '(')y^ LAO k t?
(Phone) 2. /J:h-13f;; - -; 10
~91vOj/.(J F /11j//. ~~3?8
(Ci' (Zip Code)
(Phone). 95J-9::?f-776/
DATE :j l'j;' ft ) 3 fA, CJ6"
APPLI ANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
a.~PLACE MAKE AND MODEL
INPUT
HEATINGORPO~RPLANT
OUTPUT
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
H,P~1- flJ-G:1o .maioJ: ~~ a(l,rd/rlk,lt-
FEE SCHEDULE 5 VtfJt'emeY-,v Venf lhSp"J
I % of job cost Residential, Gas Fireplace $39.50'#
$39.50 minimum
$99.50
$64.50
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
fJiPt No. .:5lJf;{;' ?
Date I Date I~/J. Of:, '--'~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 0
16200 Eagle Creek Avenue, Prior Lake, MN 55372
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
ice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
$
$
$
3750
.50
qo" a--
Paid ~~ to
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/f,f'70
~dle.
,
CONTR.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
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
COMMEtO"S: ~ /
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DATE
,l~/~
, ,
PI
TIME
6 ~J7
o EXIGRADIFILLlNG
o COMPLAINT
~EPLACE Rl
~EPLACE FINAL
~ASLlNE AIR TST
o
- /
J~l!!.-'~
-XI
0....'"1
~J~:~
L~/C
~RKSATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~ ~~7 REINSPECTION BEFORE COVERING
Inspector: . f ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl