HomeMy WebLinkAboutMech Permit 05-1112
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
~::y I PERMIT NO. ?l C - /1111-
Applicant / I J . ~
(Please type or print and si~ at bottom)
ADDRESS
ZONING (office use)
K(
'-15 {.,5 Frn btf. 5Sl1 CI r
J
LEGAL DESCRIPTION (office use only) /... I .... /J ()
LOT ~ BLOCK ( ADDITION 1fI ~ ~
i
PIDd ~-O 2().. 005--0
OWNER 1) A
(Name) 1<--/ C lL ~
,
45[,5
Jt~n fJ-t.rfe
tv -t /d me. v
~/V
(Phone) L/46 - /~ 55
F..rn h~ SSlJ
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APPLICANT (J . J 11 J
(Name) I,>lIlvn5vLL/e tJet{..J.,~ I-t"' C,
(Address) 345/ W 6//Lrn5 vtflt P )LWY
(Address) J
(Address)
APPLICANT SIGNATURE
f!rtA1t rJ ) ~ /t:t-yson
(Phone) It) '1 L/ - otJo 5
Bl1yn"5vll Ie 55337
(City) (Zip Code)
(Phone) -.Z q '-f - /fZJD 5
DATE 1I/~J&'5
(Contact Person)
16tkh
.-
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL L e Yl Yl iJ f..- n & f rn PV 81J B-1) 70 FUEL JJA}-U YA.!
FLUE SIZE RETURN OPENINGS INPUT &&, l/lJD OUTPUT 1/ ~ I oW
. .
TYPE OF SYSTEM
DWarm Air Plants
Q9ravity
..e:J Mechanical
DAir Conditioning
OVent. System
HEATINGORPO~RPLANT
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
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
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$'31, 50
$ .50
$ 4tJ. t11:L
"---"ce Use Only)
Building Official
Date
Paid ?(O,-
Date _
II, I/-!;
ReceiP~(fS 0 ry
By G---.
U
.is 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
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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
.P- ~,cl.H FINAL
COMME~S: / I
/40Jt? /-9 C~. d
FA // /
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~roy" ;P-#-;
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DA~ _ /IME
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o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~ ~~:REINSPECTION BEFORE COVERING
Inspector: ~~; Owner/Contr:
~
CALL 447.~~~O FOR TH~ NF;XT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETYI