HomeMy WebLinkAboutMech Permit 05-1152
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
//./~.05'
(Please type or print and sign at bottom)
ADDRESS
~. ~~n ~!~ PERMIT NO.O '5. II S' z., I
J. Yellow Applicant
ZONING (office use)
16867 BLINDLAKE TRAIL SE
LEGAL DESCRll'uON (office use only)
LOT
BLOCK
ADDITION
PID25. 017. o1tJ. ()
OWNER
(Name) LISA BURKLE
(Phone) 952-447-1755
(Address)
16867 BLIND LAKE TRAIL SE
APPLICANT
(Name) RON'S MECHANICAL, INC.
(Phone)
952-445-8585
12010 OLD BRICK YARD RD SHAKOPEE
(Address) (City)
(Contact Person) _ L \ ~ (Phone)
PPLICANT SIGNATURE ~ w1lA (')e AI ~ DATE
A;PLICANT P~ASE COMPLETE ,BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~L TERA TIONS
FURNACE MAKE AND MODEL en.. y ~ u.. y YJ <() m\J f1 ()(oO FUEL \,) tA
FLUE SIZE RETURN OPENINGS INPUT loOoou OUTPUT f)/ () W.OO
. - .
HEATING OR POWER PLANT
(Address)
MN
55379
(Zip Code)
\ 1- \ La -os
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39,50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,::s:l. R)
.1 _.50
t-tO. no
Alice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 10-
Date/ll r. ()J-
Receipt No. SlJ 39 4"-
-7
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
-i~h -
~?67 $~~/ Lh
SCHEDULED
ADDRESS
7/1'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-/,(s-.2
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENl$)' ~
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ ~~INSPECTION BEFORE COVERING
Inspector: /~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!