HomeMy WebLinkAboutMech Permit 06-0077
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~n ~:~. I PERMIT NO. CJ~-1'1
J. Yellow Applicant
(Please type or print and si~ at bottom)
ADDRESS
'3 q),~ ('Tv' UtA_ ~slcaJj S:. U; <-
LEGAL ~S&R1t'TlON (office use only)
LaY BLOCK ADDITION ~/ ~
U
~-' L~o JVt fS'rJ fl. . (phone) fL;-9-'i!/{J~~
(Address) '3 rz l~ r?-r-e gill Jj e.-~ -(r..C11 ( !YJ cd-J. tu es f
APPLICANL "' . _n I I ..J I 11 ,.. ~ /
(Name) \~, V'{J......') fOL(( t:i -P-P.AX' \Y\ ~ rtUVJt\~ (Phone) 9'/Z!J...-13(P -- ./ /(:4
(Address) l~ 3 ftJL (A~t1 1:1' v:9 ~ &r()~ SpOtyVfJ()y JtU; <trf28
(.contact P=oo) 1,(" 1- - . 1'}/.,1 . (Phone) ~~.J. -~ - ?~G,/
,APPLICANT SIGNATURE _~~!Jfj. .:P'(.{);:U/e..I ~ DATE FP-h./ .3~ /78
~PP~ICANT ~LEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
ZONING (office use)
PID;2 S -IO~ - rJO;;:--D
OWNER
(Name)
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
Industrial, Commercial & Multi-Family
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
- YV-Gdo ".vw!JoJ: &1.:t~f' J'JtfQr~
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
OWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL ~ p~ -\-
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
fiee Use Only)
Building Official
Date
Paid L( (j . ed)
Date;) "1.-b
Rece~NO 55k
By J--.
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
DATE TIMe
CITY OF PRIOR LAKE ~/ '"
INSPECTION NOTICE SCHEDULED -Z/~~
ADDRESS 3?/'S- ~-e~.~k~~ f.s ~/
OWNER CONTR.
PHONE NO.
PERMIT NO.
d-;?7
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
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
-0 r:!J)EPLACE RI
~IREPLACE FINAL
.....er-GASLINE AIR TST
o
COMMEN~: / . /
.~ /~,1/~ t e ..:z;~ ~ ,,-}"-
/ " ,
dA/--/-;:;/, ..,
'/HcuId' -P Fg..r#Lr
, -
/~.- I /
~..~. ~ I '~. r- 0/7.
;,I,y- ./ ~J'..
~A.5 ,/A" 0 ~ _
-7 V4/l ~ /h ~cL~
.........
/G..O~
...
/'
~ /
/"~~ ~ .
/
C7/L.
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~ ~A;;P>R REINSPECTION BEFORE COVERING
Inspector: /' ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn