HomeMy WebLinkAboutMech Permit 06-0673
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~73
~: ~;':n ~:~ PERMIT NO. /~ - /' M:<
3. Yellow Applicant VI ca f \"
(Please tvue or orint and Sie:R at bottom)
ADDRESS
/ bh;;;S- 4/}/7~ //2I//L S'G
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 0?5~O~J? ,.011 -()
OWNER
(Name)
)??drl< 2:b,SO""h
/ hh J-S A-" pu( ( /2&'4/ Sl;
(Phone) 9~ ). YC/O tfJ'/ f
(Address)
APPLICANT
(Name)
BURNSVILLE HEATING & AlC, INC.
3451 W BlJrn~villA PartwflY
Suite 120
~umS\'ill~ UN 663?"7
n - (AddTess I' .' .... (City) (Zip Code)
dtLSfRA-- r r (Phone) q~-;)-fqy oooS-
APPLICANT SIGNATURE -)t<-!~ ,...-_~ DATE 7-~ -0.(,
(Phone)
q~-d Jc;Y' OOO\~
(Address)
(Contact Person)
.-
APPLICANT PLEA~E COMPLETE BELOW
DNEW cO~1-UCnON f}.REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL ~ t:;;{?3LLt:3bS-070 FUEL }J;(~ b~
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
~ir Conditioning ;;) TOr}
:JVent. System
D Steam
o Hot Water
D Radiation
o 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
I % 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
SI A IE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.37-0 U
. 50
'rO.OO
~ffice Use Only)
Buildinl!: Official
Date
Paid /' /".
l.{~". -
Date '? ~t,~
Receipt No. /lL
' P') /"7v
---
By tJA,
{/
,'his 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~b2S ~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
[J FINAL
[J SITE INSPECTION
[J PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
....,.cr1IECH FINAL
COMME~S:. /.-/
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TIME
6 -6 zj
[J EXIGRADIFILLlNG
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLlNE AIR TST
[J
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~ SATISFACTORY, PROCEED
. 0 CORRECT ACTION AND PROCEED
[J CORRECT WORK,CALL FOR ?SP~CTION BEFORE COVERING
Inspector: ,~ Owner/Contr:
,
(!A,I)" 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI