HomeMy WebLinkAboutMech Permit 04-1100
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I 0 . "S. 04--
/----
1. Pink File
2. Green City
3. Yellow Applicant
PERMIT NO. ()+. /100 I
ase type or llrint and si2ll at b " ~J.. J
....DDRESS
IL 35q IUJq-- PIfS erQl.~~'
. LEGAL DESCR.J.t' nON (office use oniy)
ZONING (office use)
LOT
BLOCK
1\
PID z.s. 111_ 031. J
ADDITIO~
Ii
(be) ~ Yh-l \ \ P.\f' I (phone) &))- 4.!Js: 4/08
(Address) l'Ll.', }:;- q u) C\ '\ t I( So E l ),~, ~ ~ 01' 1-- c.ke
~;;~~ANT ~\ V ~!()_ t\ -e.Q Y' '\" ~ \~ ~~ne) 05-;)- f!UJ --(') ?SPJ
(Address) 3~c)d UJ I )-\ \)J ,_ \3 BlA.i\l1SlJl'\\ e) M}V, S53'S)
(Address) (City)' (Zip Code)
(Contact Person) tZ ,-\- fp ~ ' (phone) ,95'- f<"Cf(} ~ (')?~
APPLICANT SIGNATURE i AJ:/ I" DATE ()('1-~ d.O-i~ Of'
I ' , -
,~ ~PPLICANT-~A~E ~O~PL~TE BELOW
DNEW CONS~UCTION D REPLACEMENT D AL TERA TIONS
I'
fURNACE MAKE AND MODEL' FUEL
FLUE SIZE REnifRN OPENINGS INPUT OUTPUT
TYPE OF SYSTE1M HEATING OR POWER PLANT
OWNER
(Name)
DWarm Air Plants!
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation Cannot Encroach into
. 0 Special Devices Required Side Yard
, 0 Other Devices Setbacks
1+ e (Ai -vd --6-1 n Ptori a( ~ S l.6S-rLl f< 1) -;:tP.i-
FIREPLACE MAKE AND MODEL
Ii
!,
Estimated fost $
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Permit # fJ.". III 0
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Constru<#ion)
Residential, Heating Only (New Constructipn)
$39.50
$39.50
I!HEA TING PERMIT FEE
ilsTATE SURCHARGE
ilTOTAL PERMIT FEE
$
$
$
39_50
.50
4tJ . f/I)
(Office Use Only)
/'
. "his Application Becomes Y our B~i1ding Permit When Approved
Building Official
Date
Paid 4'0. fA)
Date I d. z"r. , r
Receipt No. H3I 0
By 4.. '
u
24 ~ur notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
ADDRESS
DATE nME
,4:J~*
/~SS/ W",h's~cf;,~
SCHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
v
OWNER,'
CONTR.
PHONE ~O.
o FoolllNG
o FOU~DATION
o FRA"'NG
o INSU~ TION
o FINA~
o SITE INSPECTION
PERMIT NO.
~-//oo
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
~~ rlREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COM~.ENTSy ~ . _/ . __
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.. /j(""WO~K SATISFACTORY, PROCEED
~ ~OAAECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REI PECTION BEFORE COVERING
Inspector:
Owner/Contr:
,
".
C!A:I..:L,447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INBNOTl