HomeMy WebLinkAboutMech Permit 06-0569
CITY OF PRIOR LAKE
ltEA 111~GI AIR CONDITIONINGI ~ lKEPLACE. PERMIT
Date Rec'd
i: =w .?:licant I PERMIT NO.OlQ. 6~ 11
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
~\\'!l (XClv~.t. C,... ~ w
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name) txA<.Y\ ~-\~U.5. s
(Address)
~\,''') &n:v.st.. t:;4c N~ \ '~(\U< "-Cl\Lt.
(phone) q5~ - q\.r'- Sq \.\4
c:-~ '5 ~T'2..
~~~~ANT ~r~t~ .:Q\0~~~h ~Jo.\~~ ~ .~(~(J'~honi)Ll&6\-1-L-c- qO\'
(Address) ~ \to.rJe\ p\\ J\vil SlVC\J..>\ '6 $\0'1-
(Address) (City) (Zip Code)
(Contact Person) \. \l(V\ l..f t. ~\~ \J.t\C\. ~ (Phone) lob~ L.L-e -'10" \
APPLICANTSIGNA~RE r~ \\~ t QlliC"AY'tQ DATE ~\\\{lC\.1
~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWann Air Plants
o Gravity
o Mechanical
tliIAir Conditioning
DVent. 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
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
$39.50
~~
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
(' lice Use Only)
This Application Becomes Your Building Permit When Approved
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~C), t;O
.50
,--\0 .00
Dulldln!! Omclal
Date
- Paid 4-0_ -
Date~. 2- 7. tC:,
- Recei~No. 57 S-1S-
J'
24 hour notice for all Inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'12~
ADDRESS .3l ~ ~. Q\AI.IS.P_ <.tJ r"
OWNER CONTR.
PHONE NO.
PERMIT NO. --.L, - S" G, CC
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 FlfiAL
~MECH FINAL A-c... .
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
.' -J,J~'':'..\~ n-"'- -lr ~~-...~
8
~
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~k-\~-~ s: ~.
~ U\A:.\ - ~ "f.\,~A.,~~__
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
Q K CALL FOR REINSPECTION BEFORE COVERING
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl