HomeMy WebLinkAboutMech Permit 05-1238
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~ ~:~ PERMIT NO. 05.1 Z3Q.
], Yellow Applicant V
(Please type or orint and sign at bottom)
ADDRESS ZONING (office use)
15219 FAIRBANKS TRAIL
LEGAL DESCRl.t' nON (office use only)
LOT
BLOCK
ADDITION
PID 2 C 03 (, . 0 () 2 0
OWNER
(Name)
TED NORRIS
(Phone) 952-440-5816
(Address)
15219 FAIRBANKS TRAIL
APPLICANT
(Name) RQN'S MECHANICAL. TN~.
(Phone)
Q'2-445-8585
(Address)
12010 OLD BRICK YARD RD
(Address)
SHAKOPEE MN
(City)
55379
(Zip Code)
(Contact Person)
APPLICANT SIGNATURE rshvOo., ~ \'IO...rIliJ.A
APPLICANT PLEA~ COMPLETE BELOW
DNEW CONSTRUCTION [!] REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL 6Y-~ G1-m~~.,..CfDJ llo.L FUEL Aft,
FLUE SIZE RETURN OPENINGS INPUT oo.rro OUTPUT ~191arro
TYPE OF SYSTEM REA TING OR POWER PLANT
(Phone)
DATE
\ g "'dO-c:;~
OWarm Air Plants
Q9J;avity
B'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
1 % of job cost Residential, Gll$ 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 Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.?A.5O
_.50
4O.t'h )
rice Use Only)
.
~is Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 4<J. () 0
Dat~ Z . z,1J . (/ S"
Receipt NOSlJI! 41:J
By
4fU-
/
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
DATE
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I.~:z/ ?
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
~ FINAL
CO~ENT$: /"
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/
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rvr he?t: f!!
TIME
S-/23Y
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WY5 ;.A~R REINSPECTION BEFORE COVERING
Inspector: y~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI