HomeMy WebLinkAboutMech Permit 06-0317
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;e:n ~!~ I PERMIT NO.C~ - 3/ r
3. Yellow Applicant
(Please type or print and si~n at bottom)
ADDRESS
4-030 Grainwoocl
/ rai I
N.E.
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT YBLOCK ADDITION Y.
PIrbf5 - 03~- () J ~-d
OWNER ~ d
(Name) M ~ h~ uonqar
(Phone)C15'l ~ifJ1- U 1().3
(Address) 4-02;)0 811'-- ai IV vr at> cd ~ I r ~i I tJ.0 -
APPLICANT C{ Q ~ q ,J. ,I
(Name) r)t~v~ H 1 B-. i / c, I AJ.C. (Phone) V 2 - wi - If ~1L
(Add""l/J.3U 5 c'or,~j)i. 0tL G. I::. den1rairi ~ 55-ot/;v
(\ / dress) ( ~ (City) (Zip Code)
(Contact Person) LYh ar JQ ~J' . ') \ J (Pi one) Q 5~ - 4 ctJ- ~Zll
APPLICANT SIGNATU ~ / )1~.IL-1 LG ^ Akl. \J\ J DATE WJ In u
----r-AIWLICANT -PLEASE COMPLETE BELOW
DNEW CONstRUCTION .8r REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL Lt ~ G LP I M 'PY 00lpOQ 0 FUEL tJ II- 1:
FLUE SIZE 'Z ~( j) Vc RETURN OPENINGS INPUT ~ K Cff) OUTPUT 'lqrXJ]
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
o Mechanical
~Air Conditioning X C. I f:)OZ> lJ
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
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ Sq. f)O
$ .50
$ 40. On
(Office Use Only)
Buildin!! Official
Date
Paid .. / _____
{/~_..
I Date c/-;}'l-?7
Recei~5C;b
By U
/'
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
s;f TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
<-f()~O 8~~
ADDRESS
OWNER CONTR.
PHONE NO. PERMIT NO. fJ - 117
o FOOTING o PLUMBING RI o EXlGRAD/FIlUNG
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 YMECH FINAL 0
COMMENTS:
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION NO PROCEED
o CORREnT. RK, FO REINSPECTION BEFORE COVERING
Inspector: _ Owner/Contr:
CAL ~ J7-985 FO~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~EQUI~NTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI