HomeMy WebLinkAboutMech Permit 02-1606
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~ ~~~ PERMIT NO.OZ'"/fpO L
3. Yellow Applicant ~
(Please type or print and si~ at L_..__)
ADDRESS ZONING (office use)
t1Y4-/ ~k.- f?1'dCfJVtitL
(Phone) ot l:J2 - 1.:l1o - ~2-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
-krnll1\d~
I2l tL~0 -r (ClLQ
(Address)
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APPLICANT
(Name)
(Phone)
r l-R-E-~ I 0 [ L 0 I}NH
3850 W HWY 13
BURNSVILLt ~~~1
LIC#20090911
(Contact Person) .'m ( 0 ~ ~ . ~ ~ ~!
APPLICANT SIGNATURE
(Address)
(City)
(Phone)
DATE
PID
(Zip Code)
APPLICANT PLEASE COMPLETE BEL9W
DNEW CONSTRUCTION 0 REPLACEMENT ~L TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL Jdc.(( i- ~l al()
,
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
~~u_
.
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 # 02 -- 1(, () (:;
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$-
1frJI. CJ)
. \ .50'
Llh--
IV
(Office Use Only)
This Application Becomes Your Building Permit When Approved
f2,f}11 fl.--' f q . tJ 1.
Building Official Date
pai%-o. ou
Dat,e.
It ." - 0'-
,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt NO'k.3 44---3
Cf
ADDRESS
,[ Lf1l{ l
DATE
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(0v~ \\4!~ /
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CY2 - t&t:-Y6
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLlNG
o COMPLAINT
/1 ~ FIREPLACE RI
It' /0 FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(11
(IV
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f,U r
l) X'\
,
.i"
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: . ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI