HomeMy WebLinkAboutMech Permit 06-0909
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/0/8(0 ("
I. Pink File PERMIT NO
2. Green City . O/(J - a?o 07
3. Yellow Applicant \1
(Please type or print and sign at bottom)
ADDRESS 55;<4 ElJf:!J
3+ SE
ZONING (office use)
R/sD
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID.-:)<: ~Z2? -0/ </-0
OWNER \ {'Ir_. .
(Name) \. J.o~
- ,
(Address) SD.JfYJ.e.-
r2nhu-tS
(Phone) Q;5;J. - 41 () - 53-7 tP
~:;,~~NTKhnl Orp.])l3ft: P~j ~tp~r
(Address) l/34J f> <;bv1u (JIJJL f.d I-!JJ/Jk-Ins 55s4~
) - (Address) I " i (City) (Zip Code)
(Contact Person) '\. /)lLfln , (Phone) ~-q33-- Jg~ ~
APPLICANTSIGNA;~RE (~d::::~OA1)O~~ DATE JD-~-{)l.LJ
v I.~- (J
APPLICANT PLEASE COMPLETE BELOW
DNEW CO~TRUCTION ~REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL Kuu..P Ub ~ - Dlt2...Ei11tlE. S FUEL Ma.J--
FLUE SIZE RETURN OPENINGS INPUT --'.PO (\)\n OUTPUT
,
HEATING OR POWER PLANT
q5~ -933-ISt.o?
C\ttS
J f~ uru
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3~j. SCJ
$ .50
$ L/{), DO
"'mee Use Only)
;his Application Becomes Your Building Permit When Approved Paid 411 f 0 0
;&A_"t~ 'i:k~ /.J / (J / g / D Lf' Date l /
- Building Official' . Dlhe / {) /1 I {J C.
24 hour notice for all inspections (952) 447-9850, fax '(952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Receipt NO.52 '170
By ~.
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
I () - (l/eN
ADDRESS
$".2/..( /((J f1,. s. i
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
----
~,
( / j /y.,
~ L-- -"L
----
CONTR.
PERMIT NO.
G-Clor; - CliO
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
/flu /-bk. / r(/~Q~
~ 47\
.. ((Y
,&./~ (3" 1J-.. ~
- - "')
~
~WORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PEED
R REINSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI