HomeMy WebLinkAboutMech Permit 06-0411
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
(Please tvDe or Drint and sign at bu ..u_)
ADDRESS
355\ -en~\ ."'('(~ Qir. ~
LEGAL DESCRIPTION (office use only) .
LOT'] BLOCK J. ADDITION {jJ~ A yd
OWNER
(Name) (~\-cH-f'""'(l mLLrmJ I
(Address)3Sc; \ f:)a-=:::::,<::::.l.......y'C~ Q..i r. ~.
APPLICANT
(Name)\ . ,_v""i("\ \ P ~ ~t-++--.~~~ I ~
(Addressinq c:..r-, L2\. 1L.\tn-th. "- <::,\ _ -4L I(::i.c
(Address) j)
(Contact person~~
APPLICANT SIGNATU~t, tA....If. (~)~ J
-
Date Rec'd
~. ~~n ~I~. I PERMIT NO. ()'I - '-/111
J. Yellow Applicant lO
ZONING (office use)
PID~6''''' IJD"'-Oll-()
- . -
(P9n~2- 4-\0- .:1CXd:J
(Phone) q S;y-4~~ '/Oqq
o nllc::> '\ l):J..-LI . . \ ,.~l~'-I-
(City) '--.J (Zip Code)
(Phone) ~.- ~31-7Cflq
DATE -.5 -/1-Ci,.
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL Qo...rrL.l\.r ':.
FLUE SIZE b" RETURN OPENINGS
TYPE OF SYSTEM
~REPLACEMENT 0 AL TERA TIONS
,~~C.VAoQO-l-l<.a FUEL ~a1
INPUT -BR,j em OUTPUT rt,~ C"'(.1)
HEATINGORPO~RPLANT
DWann Air Plants
DGravity
[;lMechanical
~onditioning
DVent. System
D..IQ....J
~ IAAKE AND MODEL ('0 mO 6 X- %
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
L-=) B'\ 'l--AD ~, 0-1/L -1:"J""'\ )
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ -J L\ ~
,
$39.50
$39.50
$39.50
Building Permit #
J
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
.--
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
'lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$
$
$
et:l~
.50
. u::>
40.
Paid <I (). --
Date ......1) - .d?-~
Receipt No.
SIt/be)
BY~
'-J
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS g 5 S'l
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
D FOOTING D PLUMBING RI
D FOUNDATION D MECH RI
D FRAMING D WATER HOOKUP
D INSULATION D SEWER HOOKUP
"f!!t FINAL ~ C _ r; \1\u..Cv D PLUMBING FINAL
,.,6SITE INSPECTllSN- ~ q HECH FINAL
. titt.
COMMENTS:
t. J~~~
~
nilE
(1- ~"'I
~ -t.f II
D EXIGRADlFILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLINE AIR TST
D
.
-OlL:
to
(\.~ C~ D~,
/WORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORREC~LL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ ~ . ,I Owner/Contr:
CALL .....7l~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
_n
. ~/Ik$l=::='
I TI 11 tt er...dt'r t..I:I/We"'f
__IIT_ I! $
DIll r::1?-c~
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P-.. CO t>
751;
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