HomeMy WebLinkAboutMech Permit 05-1116
CITY OF PRIOR LAKE
tlEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
/1. 8.oS
(Please type or print and siRD. at b".."~)
ADDRESS
21. PGrink Fei1e PERMIT NO.O~-. ///~
. een lIy
3. Ye\low Applicant
5733 Is {ip( View ~
\ 'U
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER (). L" rei
(Name) _I' I (W
~Ut' j 1llL
(Phone) gX?~if!lD-J4 ~V
(Address)
ZONING (office use)
PID 2S. 2S 2..009. 0
~~;~f~ V'1l (~U1l ~9cmS
(Address) Jd)LQi; ~11 A l"vi j{ if
\ (A~-'-
(Contact Person) \.. D QA\ .V't I (Phone)
,..APPUCANTSIGNATURE .~~ ~'~.~ DATE J=!i-DS-
APP ICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~ AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
(Phone) ~ -cti3~ :fl11 r
tf~n.), Mj) (~S47;)
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATINGORPO~RPLANT
OWann Air Plants 0 Steam
OGravity 0 Hot Water
~ Mechanical 0 Radiation
. JAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL 1d~ S>kG Ult:1tD V::z,lL&J.J
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ :3 Cf,,~7J
$ .50
$ ~. tIV
lice Use Only)
This Application Becomes Your Building Permit When Approved
Paid A;'\
--rv. 0-0
Date If. ~. or-
Building Official
Date
~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
(Zip Code)
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No.
/)
I By ,f.
()
50370
ADDRESS
ISl'13
DATE TIllE
SCHEDULED I W ~
~ \,. .,.~ t J.. ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(""-IIIL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o j:JREPLACE RI
,...cf FIREPLACE FINAL
AT GAS LINE AIR TST
o
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~RK. CALL FOR REINSPECTION BEFORE COVERING
Inspectorl ( /7 Owner/Contr:
J ) .
CAL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
/N$NOTl