HomeMy WebLinkAboutMech Permit 06-0497
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/~lKEPLACE PERMIT
Date Rec'd
~:~:., ~:~. I PERMIT NO. /1/ .- L/Q 7
3. Yellow Apphcant ~ II
\. .~dSe type or print and si~ at bottom)
ADDRESS
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LEGAL nESCRlPTION (office use only)
LOT5BLOCK I ADDITION /jAd~ r:2u.};o Is+--
OWNER \"v-,.. I . r_
(Name) '-0 I ~ ~ ~
(Address) SiLD n.cl.c.:h (\
LobeJ+mc^ ()(\
C.)u.JL C..J.I\c..JLQ.,
ZONING (office use)
PID 0 73 ~ Oc>5lp
(PhOne)Cf:> L ~-Ll3CL
APPLICANT
(Name)
(Address)
(Phone) Of')l-~ u- O(l)~
buRNe'v'/LLE HEATING & A1G. INC.
3451 W. Bumsville Parkway
;s~
Bumsville, MN 55337
J
(City)
(Zip Code)
(Contact Person)
. (Phone)
DATE /..9 --Of 0 ~
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT 0 AL TERA TIONS
l' uRNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
r"
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
. &Air Conditioning
JVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ::J 106. CX)
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$. 39.50
$ .50
$ 41).00
(Office Use Only)
;--'s Application Becom~ Your Building Permit When Approved
Paid
l(Or
0~q r-~.
Date
Building Official
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
ReceiIf:;;'t; 81
By 71
() _.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
S9$/J ~/k
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
~~MBING FINAL
~cCH FINAL
DATE TIME
7#~
,
C!J.;~ r: F-
6-&7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTV /
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#ORKSATIS~ ~
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl