HomeMy WebLinkAboutMech Permit 06-0786
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~ ~;~;w ~J~icant I PERMIT NO'b- 7f?/v I
3
ZONING (office use)
I
LEGAL DESCRIPTION (office use only)
LO~BLOCK I ADDITION
PID
/(0(- Ct~{~
OWNER
(Name)
(Address)
(Address)
(Contact Person)
APPLICANT SIGNATURE
DATE
APPLICANT PL~ASE COMPLETE BELOW
ONEWCONSTRUCTION . ACEMENT OALTERATIO~
FURNACE MAKE AND MODEL CPr'W -erfr[/lD -1-1 Y FUEL. ,
FLUE SIZE RETURN OPENINGS INPUT OUTPUT. ~
TYPE OF SYSTEM
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
~echanical
DAir Conditioning
DVent System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AIC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $ c:~raJ..-~ Building Permit #
Industrial, Commercial & Multi-Family
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Official
Date
$~'~
~
$ .)
Paid~/. ___
l~
Date q-.;
Recei~J:<( J /
By
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
'lice llse Only)
fhis 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
IN.SPECTibN NOTICE
SCHEDULED
ADDRESS /~O?r;;
/v /at; I'S
CON".
OWNER
PHONE NO.
PERMIT NO.
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
~~UMBING FINAL
, MECH FINAL
~
,sl
TIME
~ - 7o~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CO~T~ ' __
.IJ ..e: cl /Z/rh~~
~ "'V-.o' US4 f 7~-s /-
a~- P~J I1lA A
/'
Of
~
/
L
~
~SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAL OR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
In
...
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor AIR MASTERS, INC.
Name of Tester ~ .( t.:~
Date ~ 9/06
Percent co
Percent C02
Job Address
Heating Contractor
Name of Tester
Date
Percent 02
Stack Temp
input