HomeMy WebLinkAboutMech Permit 04-1225
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~,;;':n ~!~y PERMIT NO. 01 J_ J,,$"
3. Yellow Applicant '-'[. I t7"O"
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fJ~.f (Phone) 9.0- c..(~/i-.2 7..?b
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(Address) (City)' (Zip Code)
(Contact Person) 1Lt..-c--f (Phone) &/ 2- -~I'Y'-Cf ~'-/.::?
APPLICANT SIGNATURE ~_/~~ DATE -L)-/.?<JV
A~p6cANT-PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ;gr AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
:ase type or print and si2l1 at bottom)
. ADDRESS
I-fi~-/ k~A Av~_
/
LEGAL DESCR1t' nON (office use only)
LOT / I BLOCK J.. ADDITION
I S7t) V
.r
\.WtvnrL !)A~ /.$-r
- -
OWNER
(Name)
(Address)
f( "'->.f Go"- &.ret
/S-7~v
(Phone)
APPLICANT /' /
(Name) uCi S ~(~e
020 tf-/ r
(Address)
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
...1-....,5. & I
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
lI~f-p-G/o
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 & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
8Cj.s-o
.50
,-/0.-
(Office Use Only)
'his Application Becomes Your Building Permit When Approved
Paid Iff)--
Date J I
t)- /3-0...,
L._~
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
ZONING (office use)
PIDd6-/l/3- 630-0
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
R2/~t'N!3 7
BYe
() ------
CITY OF PRIOR LAKE
INSPECTION NOTICE
ODRESS t 5'lOQ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
w~.
DATE TillE
SCHEDULED I~
1-/..y.~J c--JL .~.
CONTR.
PERMIT NO.
-...{- l~"2t;
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ G~~~E AIR TST
.)..s
714.0,
~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~. RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto : J Owner/Contr:
CAl ~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOn