HomeMy WebLinkAboutMech Permit 05-1169
/
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
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ADDRESS
~. ~n ~~~. I PERMIT NO. ()S _11/ q
3. Yellow Apphcant \P I
ZONING (office use)
I G, Co 51)
6r~e-kS(~p, C,;'cAc
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER . "f1
(Name)~~.-tle.l 1', Ro ruj
(Address) {C; 0~~ c. r~~k: <' ',d-F C(rG/t'~
(Phone) q~2-t.(qD~~
Prto r La k:.e MrJ c:;-~ 37'2-
APPLICA~. '
(Name) Yd'f J1 {~I p. PI'> rfll:J
(Address) -1-005 "5 C r ~ ~ I:::.- "'S 1(;( Y' c, ;-c.-I ~.
(Address)
,r-:-- . ~
(Contact Person) (./d V\ I 'G-l t'. k'or V l~
lY ...-J
",'-4.PPLICANTSIGNATURE ~.'..'" ~~ ,p,~ DATE
APPLICANT PLEASE COMPLETE BELOW
ETNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL -5,-(: C r,., I Y . FUEL -'0 rl1
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone)
(Phone) q.c:; ")..-Q41J -~9 3e;-
-p;. {;,rk k<:-- IVI~J 5 ~ '3 7"2-
(City) , (Zip Code)
q 52- qq ?J-0cr3~
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DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
Ia"Other Devices ~ $"..{e, U~
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
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit 11
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ -.:sS t 50'
$ .50
$ L/O, II 0
lice Use Only)
~ AppUcation Becomes Your BUlldi.ng Permit When Approved
J)eA~ ~~ 'l;~tf/oS--
Building Official Date
, ,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Paid I III
7(/1 1)10
Date 1/ /7,d() 5""
Receipt No. 50 31 &
By -er-.
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
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SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO,
5-//6~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ ~BING FINAL
/,"",I:CH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RE SPECTION BEFORE COVERING
Inspector:
,.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INVIOTJ