HomeMy WebLinkAboutMech Permit 06-0138
~~
'/IVJVESO~?-
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NO'ler /3B
,
(Please type or print and si~n at bottom)
ADDRESS
55/7
ZONING (office use)
l50L\. V\ ~':J
S--\-
LEGAL DESCRlPTION (office use only)
LOT lp BLOC4 ADDITION ]. ~O() 1C"51Lp..L E- f-rt~c.~ tit- pm -Z!> -1~7 -G5l-c:::
~'::~R PC'''-\- W'\ \ K~
(Address) SS L:J ~~\.'^ ~ S -\-
...J
APPLICANl-l \ ) 11 iI1/ C
(Name) II' Vir ~~ fYT~ ~/-L
(Address) 1&'".<;9./-1 t.bh/c:fSrDDK ~+-
.. (Address) .
(Contact person~et"l..~ bV'\A ~
APPLICANTSIGNATURE~ 4~
\ ' .
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~EPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL ;lme,....'L(;.,-.... s~Q FUEL AJA r
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Phone) tiS)......
Pt" 1 D r LIlt'" J11 "J .s s "5 ~ '.)
(Phone) 9Sd- L/ if )- 9() I ()
4)~r L",Jtc mJJ 5S37~
(City) (Zip Code)
(Phone) 9SJ-l/ t.j '7- gJ I D
DATE .~ ~-fu
lJ"
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
~echanical
ir Conditioning
Vent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE: Air Conditioner
U nits and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
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
ST ATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
:s.?"C)O
.50
11/-1> , D l:L
,
Building Permit When Approved Paid 4t?-
~ Dare Dat~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Receipt No. 51\ +r
By flJJ ~ .
DATE TIME
CITY OF PRIOR LAKE ?#~~,
INSPECTION NOTICE SCHEDULED
Avn I- y ~/ 1
ADDRESS ~S/7 &'/
/"
OWNER CONTR.
PHONE NO. PERMIT NO. -6"'- /Jr
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION )i!-MECH FINAL 0
COMMENT~: /' __
_ p' ~.4 (' e/rj h:..-Y~"2'~ ~
/ .....,
/f/ JC' C-</ ~ e r I c.t;.- v1
,. -
%,.-~ a- ~ e-.- ;-
S~""7 /' C~ 6':..~. h~
... / / A /\
r~A&USh7,_ /0y M
7- ~k-
~
() ~~ci,y/
/'
"., //./
//;4~ /~""U <, "s/t~ /;;- ,J
// /r" ~J./,-, /h
. {j~ ~/_S /r d.
...--- /
./7 h <I[~ /
/"
C)/c
p.:woRK'SA TIS FACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~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!
INSNOTl