HomeMy WebLinkAboutMech Permit 05-0805
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/I11KEPLACE PERMIT
Date Rec'd
g', Zz,.OS
~: ~ ~~~. I PERMIT NO. 05'. 080rl
3. Yellow Apphcant Q I
(Please type or print and si~ at bottom)
ADDRESS
5 4(,5 c.(~~r" SffeeA-. ?r-,o( ~~e MtJ 5S~7?-
ZONING (office
use)
LEGAL DESCR,lr lION (office use only)
LOT)'?, BLOCK d- ADDITION Br~sv;H-e ~h\\5 G::>~ AJ.c\;.t~/\
PIDd-51 ~ 70;f.70
OWNEILr-
(Name) '- la".9~
I
r
Gor4c.~
(phone) ~5c?.) 'Y57~dd- \0
(Address) 54 (p5
C(~<i,J{r.
St(t'et' Pf~( k. ke I (vi tJ bb:> 7?-
APPLICANJ:.-
(Name) ...J oS~D'"
I
~ &r~~
(Phone) Q5;;. - f-1.5 7- )~ b
(Address)
EL./(p5
c..r..,.'i~ (, ~+rRd-
(Address)
B~I" J..,c, ~ M N
(City)
(phone)
bb 37;)..
(Zip Code)
,,-
, (Contact Person)
APPLICANT SIGNATURE ~ >>~ DATE g-J..;) ~05
....... APPLIC'ANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. 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 Ha-t - N"- c:, LO S L -20 G, 1) \/
FEE SCHEDULE
Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $ 700. 00
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # OS. 0 8as-
$ ,Jt:/SV
$ .50
$ 4-r;,{)()
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl!: Official
Date
Paid 4-0 _ (12)
Dat<<;., 0 ,.-
o. ZZ. ~
Receipt No. -1988/
BY~
/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE ~ ... ~
INSPECTION NOTICE SCHEDULED ~'l~
~-(bS 0C/~s;;,~d,a.-
ADDRESS
OWNER
CONTR.
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
o MECH FINAL
COMMENTS:
-------
/.- ~
r t/1q
I
I
s- - tfCZJ -
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE AI
~ 'I~'::( LACE FINAL
o GASLINE AIR TST
o
/
~)/
C-/' ((
......
XW~RK SATISFACTORY. PROCEED
/ ~RRECT ACTION AND PROCEED
o CORRECT WORK CALL F. REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!