HomeMy WebLinkAboutMech Permit 02-1530
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or vrint and si2D at bottom)
ADDRESS
3\13 ~-adL{ ('f)\kJ ~nt~
I. Pink File
2. Green City
3. Yellow Applicant
Date Rec'd
LEGAL DESCRIPTION (office use only)
LOT1~ BLOCK I ADDITION7Jrn1Jl/)}tf(J(/; f/!(~ 135/ I;;;;AStI PIDcZ}- 3'7/- (JIb -~l
OWNER --c:rnJ IL '
(Name) ~~"U L-U.J (fL..
(Address) ~('1~ ~ ~ -POI~
APPLICANT
(Name) FIR E SID E COR N E R (Phone)
3850 W HWY 13
(Address) ~ II D Ull~ ~ ~ M ~ I; I; ~ ~ 7
II C # 2 o<tt1Wgs,) 1 (City) (Zip Code)
(Contact Person) " H 0 N E 952 - es 0 - 0758 (Phone)
APPLICANTSIGNATURE~ ~ __DATE-3/PlfJ/m-
APPLICANT PLEASE COMPLETE BEL9W
DNEW CONSTRUCTION D REPLACEMENT 10 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
(Phone) ~ 1::J!7J ,
~,~
.50
~,. (l)
J/tJ/?V
, B
11- d (. -OCJ-- t;Kl/
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FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL wat ~ ~\..D
'i:,1'5DT2-~f\.\
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Date
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J173
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED I Z -2? -cJ<. .3:06
5~ ~ (?f
CO~TR.
PERMIT NO.
2-1550
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
~IREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~K SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CO~T 7RK. CALL FOR REINSPECTION BEFORE COVERING
Inspec or) ~ _ Owner/Contr:
C~.~. 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
COnE QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl