HomeMy WebLinkAboutMech Permit 06-0297
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
+. Z/.OftJ
~. ~::n ~!~ I PERMIT NO. 0/-. 0297/'
3_ Yellow Applicant C€'
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
4799 Adrian Circle
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
Darby & Shelly Garrity
PID
(Address)
4799 Adrian CirCle
(Phone) 952 - 2 2 6 - 54 1 5
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION [;?REPLACEMENT 0 AL TERA TlONS
FURNACE MAKE AND MODEL \.Q.,hy\D)G 'f.. e,\5 .D'30 FUEL
APPLICANT
(Name) RON I S MECHANI CAL , INC.
. (Phone)
(Address)
12010 OLD BRICK YARD RD
(Address)
MN
(City)
SHAKOPEE
(Contact Person) L I nd.a.
APPLICANT SIGNATURE ~~
. (Phone)
DATE
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
DGravity
o Mechanical
~ir Conditioning
OVent. System
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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
31.q)
.50
~O.OO
$
$
$
"\ice Use Only)
fhis Application Becomes Your Building Permit When Approved
Paid 1-0, 00
Da~ Zl. 0 (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
952-445-8585
55379
(Zip Code)
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No. 512..54-
IBY~
I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Y7?r ~ ~L'\.
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
...,eD-MECH FINAL
DATE TIMli
,)h~C
C~
6-~1'?
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COJIIMENT.S: /' ~ /
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, A;; :J; REINSPECTION BEFORE COVERING
Inspector: /" /!fY' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!