HomeMy WebLinkAboutMech Permit 05-0846
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
8.:1o,0a-
~. ::n ~~~ PERMIT NO. /Jr". Oo.4J-
J. Yellow Applicant vr.:::> C/ W
(Please type or print and si2ll at bottom)
ADDRESS 2 cgq It; FOX 1R Ai L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) ~ fA M.f.BfJJ.-
(Address) 2%tJ0 ~O)( tRA-l L
ZONING (office use)
PID;?S: 291. 010.0
(Phone) t15Z- 44S-~~4
pf2Jnl<. LA1lEJ MI-J flS--t12
APPLICANT
(Name) TflIEL C~MFlJQT (Phone) ~-SE3- ~38'3
(Address)!dnfjfJ W~~ t}VE. ')l11IEtt-Jj}fJ ~ 5C;L/27
(Address) (City) (Zip Code)
(Contact Person) A~ (Phone) II/)~ -3~3- T?31rJ
-4PPLICANTSIGNATlJRE ~, r~ DATE IZ/iSlm
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION J&1 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL . FUEL bAS
FLUE SIZE iJ-inc\1 RETURN OPENINGS INPUT hf4000 BrU OUTPUT 4~OtJO flU
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
REA TING 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 & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
3j 1)1'/2.00
()5. o(f~
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$~q..')o
$ .50
$~
lice Use Only)
, Application Becomes Your Building Permit When Approved
Paid~. (J 0
Date
B. .3/. oS"
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No. tf9'fz Z-
By /$ ~.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~~9r~
Fox '+ail -r;...
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
)5( MECH FINAL
COMMENTS:
crj;;~ TIME
S"-R4lP
o EXIGRADlFllLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,PROCEED
D PROCEED
c~.... ;..; REINSPECTION BEFORE COVERING
Owner/Contr:
CAI.: 447.9~ F~HE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQ~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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