HomeMy WebLinkAboutMech Permit 05-0677
CITY OF PRIOR LAKE
~
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
7./4.05
~.:ir~ ~!~y I PERMIT NO. Os:. 0 /7 7 I
3, Yellow Applicant {(7
(please type or print and S,ign a, t _m~
I ADDRESS
~ 7&,J. 1..s~..JJ
ZONING (office use)
R/sD
~~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25. 9z5. (JOt. ()
I&:R ~L
(Address)
/lJ A-XK/uL
(Phone) C;SJ..~ o(~ - cLS" 7
APPLICANT
(Name)
(Address)
\
SEDGWICK HEATING & AIR CONDITION!NG UC
8910 Wentworth AVe v.
Minneapolis, MN 55420
<(9521881-9000
(Phone)
(City)
(Zip Code)
PPLICANT SIGNA TU
DATE 7-1/7:Jf
(Contact Person)
APPLICANT PLEAS COMPLETE BELOW
DNEW CONSTRUCTION 1]1 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
~n Iy 0 Special Devices
o Other Devices
OUTPUT
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
DGravity
o Mechanical
~Air Conditioning ~tkng(
OVent. System
lH~nd
l'lr<ePb\QE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Estimated Cost $
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
Building Permit # () S. 0 (P --; I
$39,50
Industrial, Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39,50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
--1.4.Sb
,50
i.((}.~b
,lice Use Only)
This Application Becomes Your Building Permit When Approved
Date
Paid 4-6, t7 0
Date I. IS.r) S-
Receipt No.
1-9809
Building Official
By
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
SCHEDULED
ADDRESS
S761
IS?> 1l-t Yr
OWNER
CONTR.
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
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
A-~
~+~Q~
DATE TIME
ltJ,iI~o/
5-0 77
3- /1. 17
. ,
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
d. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: t/'J"f> Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!