HomeMy WebLinkAboutMech Permit 06-0614
CITY OF PRI9R LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
7./0. oiP
'"'-
1. Pink
2. Green
3. Yellow
~::y I PERMIT NO. /V 6(, /.A ·
Applicant (../f4I' ~ , V-
(Please type or print and sip at bottom)
ADDRESS
'S"lY1. B l rv~woocJ. N~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ZS, zos-. aIr: D
.
OWNER
(Name)
rJ1Y-l~
5''12
fY\avj
'R\{~U-JoDol
Av~
P r\' 0 r
(Phone) ~ It - 38b '50S- 5
LCX_J:'L M rJ 5 3 '3 J 'Z-
(Address)
APPLICANI.. \ " I I
(Name) ~ ..p d (; \N '\ uk- tK_ot"n~ (Phone)
(Address) 8 &) IOW..t.v1-nv D ~ ~ ~ Q..- S AA..p\ ~
(Address) (City)
(,contact Person) 1h1lM1l~ 15. S~~~ . (phone)
APPLICANT SIGNATURE ~~\ ^J(~DATE
- -' - -
. U~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
q<;l-Qi) 1- <1 bOo
S S"-11-c
(Zip Code)
k, /1.., f. / f:j ~
TYPE OF SYSTEM
OWarm Air Plants
DGravity
D Mechanical
~Air Conditioning
-OVent. System
HEATING OR POWER PLANT
o Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE: Air Conditioner
Units 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
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
"3t:t.'"-'o
.50
Lfo.(LQ
,-- 'ffiee Use Only)
Buildinl! Official
Date
Paid ~d, OV
Date 7. / O. (;) (,
Receipt No. .57~
Bym._
ihis Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
DATE nilE
CITY OF PRIOR LAKE ?-bIVZ
INSPECTION NOTICE SCHEDULED
ADDRESS 574L ~~
OWNER CONTR.
PHONE NO. PERMIT NO. ~"~
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
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 GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ~~~
'i
---- ,
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PRO ED
EINSPECTION BEFORE COVERING
Owner!Contr:
Inspector: i
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSN011