HomeMy WebLinkAboutMech Permit 05-1229
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
12. ze,OS
(Please type or print and si~ at bv.~~)
ADDRESS
t-.~~'J-r-':1IfI 3298 BALSAM ST SW
~,=n ~!~. I PERMIT NO. ()1z:""/Z2..9
3, Yellow Apphcant 1::7..
I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ZS: /7'L. 008,( (.
OWNER
(Name) MARK GRIFFIN
(Address) 3298 BALSAM ST SW
(Phone) 952-440-6467
APPLICANT
(Name) RON'S MECHANICAl,/, INC.
(Phone) 9S2-44'1..=..8.....c)R5
(Address) 12010 OLD BRICK YARD
, (Address)
.,. -<r;ontact Person) L \ YYh
. _PPLICANTSIGNATURE _~~
RD
SHAKOPEE. MN
(City)
55379
(Zip Code)
(Phone)
~YraniLr
APPLICANT PLEAS~ COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL -.UV\Y\OX l:1W\mQV-?llB- 0':)0 FUEL Ob
FLUE SIZE RETURN OPENINGS INPUT !f6,coU OUTPUT 1a5,9\OD
TYPE OF SYSTEM HEATING OR POWER PLANT
DATE
\(j- \q.oS"
DWarm Air Plants
09ravity
'0'Mechanical
DAir Conditioning
OVent. 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
1 % 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 #
r-
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~.q)
.50
~.eo
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
pai~, cro
Date
/2. ZCJ.05
Receipt NO,.5l1J3 7
BY~
I
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
SCHEDULED
ADDRESS
329? &k~
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
~MECH FINAL
DATE TIME
/f~%1,
/
,<\,/
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o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~~TISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr:
CALL 447.9850 FOR, THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1NSNOTI