HomeMy WebLinkAboutMech Permit 06-0039
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
f.fl.{)(P
~. ~~n ~!~ I PERMIT NO. 0(; (.i ('.3 '1
J. Yellow Applicant I
(Please type or orint and sign at bottom)
ADDRESS '\
L5,-(gC( \t2kt \) i j JA ) )2;;),
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
ZONING (office use)
PID
. OWNER ~.I71J /) + \UCr/J
(Name)~\-VVX. - P Ai, 6[A/lIlA..- (Phone) kf,/ )-lJ.{/-cr.~Sq
(Address) 167~hl{ thlW \U~ i ~,or LaW i W) fJ(;<;7l."
~;;~~ANT~( W'l~/r~ )VlL-. (Phone) QS'L)4S)-5Cf32-
(AddreSS)_S~ }jJq~/'\t i0~I()1 ~fl') Uojjjjj ,JAtD ~/LLj
(Address) ~ (City) ~ ~ Code)
(Contact Person) y.a ()t!I.JJ.U Q . (Phone) ~~ q 5: aLhu..e.
APPLICANT SIGNATURE -1at)f{aliO klJ DATE _l/o//Of-J
,
APPLICANT PLEASE COMPLETE BELqW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
iU~.i vl (UU.(UA ~ QJ.A ~~., ~
V r {
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
F-m.EPl;i\;::;:: IVIAK.t Ai,<u JV1CJfiffi.. 0 'A-
Industrial, Commercial & Multi-Family
Residential. Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
I In - .50
"1U , (}\J
lice llse Only)
fhis Application Becomes Your Building Permit When Approved
Paid 40. lrzJ
Date I 13 t,l{p
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
(UJ,
$39.50
$39.50
$39,50
Receipt N05J8C- ~/
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
7--{;,rOZ
ADDRESS
1S"7t'1 fs!Utc1 UJ~Vl/
OWNER
CONTR.
PHONE NO.
~9
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)J'fINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKU~P
..J;3"'PLUMBING FINA fl,
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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~WORK SATISFACTORY, PROCEED
o CORRECTA7fjj7TIONANDP CEED
o CORRECT we , CA F R REINSPECTlON BEFORE COVERING
Inspector: J Owner/Contr:
v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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