HomeMy WebLinkAboutMech Permit 05-1051
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and si2ll at bottom)
ADDRESS
~ I ~ G.d.o.....rLJ -r-r"d.. ~..,J E...
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER--:::2- . r- y n t .
(Name) J""\\,-,"", \...:....l Cl.J:ii -er-
(Address)" c.al~ C'ochn \."'{~l G. NE.J
APPLICANT
(Name) lLx~\er~ ~ \i1"--,~rOP ~ .
(Address) ("q,C-.t\ W . \4(P ~\ . -"- ICX "
- 1
(Address)
(Contact Person) ,II I ~
'-'l'PLICANT SIGNATURE ~ ~
Date Rec'd
j(J./B. OS-
~. ~ ~!~ . PERMIT NO. ~5. I ()51
3. Yellow Applicant
ZONING (office use)
PID zs: -z.,o5. 0/ G. #'0 .
(Phone) q~44-S- Ll ~
(Phone) qs;:l-~ ~l- '7ofJ!1
<1'~J\r:' \ r,' 'f' \ 5Sld.J
I (City) '-..J (Zip Code)
(Phone) q5;;)-Lj3 (-70QQ
DATE 10-' ::)-Ch-
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION I)PlliPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL Ruud.. - UG:-~ A-a '7 E~ FUEL NCrtUru
FLUE SIZE RETURN OPENINGS INPUT Li ~ OUTPUT
,
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
iraVlty 0 Hot Water
Mec~anical 0 Radiation
ir Conditioning 0 Special Devices
-Al ~ Vent. System . 0 Other Devices
r::'~~€: ~iAKE AND MODEL -:t\\ , I I d., - U. CL\1\~~ - ~ ~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 ~esidential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ~ ~ "'-.--:-
/
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$39.50
$39.50
$39.50
Building Permit #
$ 31. 5:J
$ _50
$ LfO~JI-)
Paid ~O. 0 0
Date / ().I1. () 5'
I Receipt No. .5()3Z 7
B~
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
DATE TIME
SCHEDULED 7 /? hk
. 1- ,-
a/tvoC/d sf
ADDRESS ,\t1J /.J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
\ <) -j-tJ,s- (
IJ FOOTING
IJ FOUNDATION
IJ FRAMING
IJ INSULATION
IJ FINAL
IJ SITE INSPECTION
IJ PLUMBING RI
IJ MECH RI
IJ WATER HOOKUP
IJ SEWER HOOKUP
o PLUMBING FINAL
rECH FINAL
o EXIGRADIFILLING
IJ COMPLAINT
IJ FIREPLACE RI
IJ FIREPLACE FINAL
o GASLlNE AIR TST
IJ
COMMENTS:
~
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/
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~SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~L;~EJNSPECTJON BEFORE COVERING
Inspector: /~~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH Ii SAFETY!
INSNOTl