HomeMy WebLinkAboutMech Permit 05-0840
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink File
2, Green City
3, Yenow Applicant
PERMIT NO./J j - We. ~
(Please type or print and si~ at bottom)
ADDRESS
ZONING (office use)
S~;)L! f)m hIe {It; oad )2r/u t2
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER '\? f. A J " _ ,/J
(Name) ~ [sO}} ~ .e... (Phone)
(Address) S'IJjj ,l)mb!&uJood ,I)~ ,tJ/..G.
APPLICANT \ A I Jill Q
(Name) N. .J'e~t'c! /J ft eb r /l. \J- TTtJh1.~ (Phone) ~f1- OJ q/J r- (J?~
(Address) :5>8 StJ (iJ. H'Jd. I,? (] 14/'r5V///(J,JJ/jJ 553$'1
(Address) ~ (City) / , (Zip Code)
(ContaetPerson) ~-+ l2t..y, 7...~.pr: )j,' '}I\ S' (phone) ~-.f:9c)-rY 7~
O"'\PPLICANTSIGNATURE ~~I::J;hJ DATE ~:J9fA~
APPLI~gT~EASE ~O~PLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT )lJ AL TERA TIONS
ru~~~~~~a .rua
FLUE SIZE
RETU~ OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
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
II- eft f-11 /- &10 111010/,' t3--E IYI-Sf; !J1lf'pt:"rrp./lale
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
FIREPLACE MAKE AND MODEL
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 Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
4fb--- -
I
I
Rec~O~
Bl(
~
lice Use Only)
Building Official
Date
Paid LIt) ~
Date)'__C).tj, ~
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
)<I~~
- t '
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
./'
~,
II/?'-'-
,
..--.-
DATE
/~~)
~llU/o~1' iA-
- /
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WAfER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
/
/
~/
~(C
TIME
,<0- 9-40
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
~REPLACE FINAL
o GASLINE AIR TST
o
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.-- --...........
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2)
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Inspector:
INSNOTl
--------
~
/ /1/
\ r_/~s-e ~ /p~
~- '-- ----
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR INSPECT N BEFORE COVERING
A
, r
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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