HomeMy WebLinkAboutMech Permit 06-0038
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. :~n ~:~ I PERMIT NO.Ot;,. OO.3a!
3 . Yellow Apphcant C/
(Please type or Print and sign at bottom)
ADDRESS
3/88 BIA---f1t,ynL11- tl'~ NvJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
ZONING (office use)
PID
OWNER II D I"
(Name) L;ha..,v les ec r-~S
(Address) 3183 e~++e.y n LA--1- e"f V AJ w
I APPLICANT. ..,d,J r
(Name)nlA--Yns.y tile HCA..h /14 ~ It-' ~ (Phone) qSt? - 81 t./- ()OtJS
(AddressLQ!f5/ fA) lbuYnsVi/if ~If &.rnsv"II~ mn 5536/
(Address) J (City) (Zip Code)
(Contact Person) 13 t,,+h tJ ,. e.. JLc,V$6Y1 _ (Phone) gs- ~ - X '/ '1- 1fV() 5
APPLICANT SIGNATURE ~ AJ(- c.;/L-e.VS-~h DATE J--<1--~
(Phone) 15jX- L/Lf7.;)-fp 18
APPLICANT PLEAS~COMPLETE BELOW
DNEW CONSTRUCTION ,WrnPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL i~ V I m PV....~ lttc.--cQ9'tJ FUEL JJ~+~vlJt,l
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
.-
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
OVen!. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ -3q, 5D
$ . 50
$ LID . DU-
(Office Use Only)
,-
is Application Becomes Your Building Permit When Approved
Paid 40. tfV
Date ,? /. J
/. J..>. V CP
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39,50
$39,50
$39,50
Recei/No. 6lJB~
BY(/.-,.
U
DATE
//3/k'6
/ ,
3/J:? #u#er/?u_-/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA liON
o FINAL
o SITE INSPECTION
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
COM.NENT~: I _
~~~t:.e d ~~H~/P
;
I
,/y~~
~~./
~
/-;-;' ~
TIME
~6-3r
o EXlGRAOIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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X~ORK SATISFACTORY, PROCEED
/ 0 'cORRECT ACTION AND PROCEED
o CORRECT WOR~#;aa-. 7~INSPECTION BEFORE COVERING
Inspector: /' ~ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIIOTI