HomeMy WebLinkAboutMech Permit 06-0964
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
t ~i~~~~w l~~,cant I PERMIT NO. Db ,- o/~ll
(Please type or print and sil~n at bottom)
ADDRESS
/Sb7fa
f-t' S h PT /;2J
ZONING (office use)
S""~
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID ~ 5" -;::} b ''1 - (JI$-; j
(Phone) ~I J b ~b ~ 002..
OWNER
(N ame)
/'h, 14 ~r Y'/-t?v
~~~
, (Address)
APPLICANT
(Name)
(Address)
(Contact Person)
(Phone) q r d- ~'7lf OOO\,
BUR~.aVILLe ~~ATING & Ale, INC.
j4bl W. !::lurnslJille Parkway
Suite 120
~u S ~mfNij)e, MN 55337" ~ (Phone) (Ci~ r .) ft1- V O;;~ c;e)
'>sl~j'tL-- '0..~ DATE 10- :M-d(~
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION [ltREPLACEMENT D AL TERA TIONS
FURNACEMAKEANDMODEL SJnr..t5.. 7<. Pc..'l (3t;}JVOgOu..PJI FUEL /U~tc:AS
FLUE SIZE RET~~ENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
IJ Mechanical
I ~ir Conditioning
LJVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o 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
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
"flee Use Only)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEA TIN G PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
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.SO
~O ~O
Date
paidlh,,--
Date . b
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fhis Application Becomes Your Building Permit When Approved
BuiIdine Official
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
DATE TIME
SCHEDULED
11-17)(,
ADDRESS
/(& 1(,
n-s?t tf r
OWNER
CONTR.
PHONE NO.
~ 0;. 9W
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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)ffWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~RK: #FOR REINSPECTION BEFORE COVERING
Inspector: II vr./ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
,
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