HomeMy WebLinkAboutMech Permit 05-0890
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. (4-.0)'
~. ~:n ~~;y I PERMIT NO. "15:: O()"O/'l
3. Yellow Apphcanl L/. - l/ -, V
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ADDRESS ZONING (office use)
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BLOCK
LEGAL DESCR1.t'uON (office use only)
ADDITION
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APPLICANT (' L /J/
(Name) ''''la_S r;e PI1.5 (Phone) qS-2-V~f'- .273h
(Address) dO [}-/.s- ..z:-Jc(,/1 r'e\.. 4ve~ ~t::.lev{/to I fr1 f/ s ~a YV
. (Address) (City) (Zip Code) ,
Ie ~I.: (Phone) &'12 - 0'0- V.2 V 3'
~#~ DATE f....12-o~
- - - - - ---. -
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APPLIUANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~ AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
OWNER
(Name)
/(n ~ ~A--
/5W0
(Address)
(Contact Person)
'UPLICANT SIGNATURE
PIDZS-./43. 654. 0
(Phone) ?:5:';-' q~7-~.?:3 2
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL /Y1 tl( e.st'c
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
TYPE OF SYSTEM
Industrial, Commercial & Multi-Family
{)(j 30 fl U
v
FEE SCHEDULE .._._-------
1 % of job cost ~sjdential, Gas Fireplace
$39.50 minimum -
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
~ -:l/fO db
eX /v Building Permit #
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
----
$39.50 )
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
.Dce Use Only)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
"37e SO
.50
4"'0,,00
.
paid4{j_
Datecr 1/1. oS
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
This Application Becomes Your Building Permit When Approved
Building Official
Date
Receipt No. tfA{4'fD
By ?
; "".
,.
(;
DATE TIME
CITY OF PRIOR LAKE ~fl/6
INSPECTION NOTICE SCHEDULED
ADDRESS IS~o'-e S~U~
OWNER CONTR.
PHONE NO. PERMIT NO. 5-~l/)
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP JEREPLACE RI
o INSULATION o SEWER HOOKUP FIREPLACE FINAL
o FINAL o PLUMBING FINAL ~ ASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~. ~ ClrnP F~ rl~
rRK SATISFACTORY, PROCEED
o CORREC TION AND PROCEED
o COR C CALL FOR REINSPECTION BEFORE COVERING
Inspect r: ( Owner/Contr:
. V/
CA L/44U8so FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.1 .
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH cl SAFETY!
lNSNOTl