HomeMy WebLinkAboutMech Permit 04-0717
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. / J. ..04---
~. :ir::n ~!;y I PERMIT NO.O L. 07/7/
3. Yellow Applicant . q'
. ,ease
ZONING (office use)
~/J'O
RD NW
LEGAL DESCRIPTION (office use only)
LOT :3 BLOCK Z ADDITION Iff..,. VIe;W J~
PID z5' Zz,l3. 01-4-. 0
OWNER
(Name)
EMILY LLOYD
(Phone) 952/226-3443
(Address) 15970 ISLAND VIEW RD NW
APPLICANT
(Name) RON'S MECHANICAL, INC.
(Phone)
952/445-8585
(Address) 12010 OLD BRICK YARD RD SHAKOPEE MN 55379
(Address) (City) (Zip Code)
(Contact Person) l- (Phone)
APPLICANT SIGNATURE DATE :1-.
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION PLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
OWarm Air Plants
o Gravity
~echanical
ir Conditioning
ent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit # (J4'. 01/7
3~.g)
$
$
$
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.50
40. 00
'llffice Use Only)
Building Official
Date
pai~. fI 0
Date r: () 4-
1.1 .
Recei t NO'f'7't 7 ft,
By
'his Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
DATE
CITY OF PRIOR LAKE d,... J _ /
INSPECTION NOTICE SCHEDULED 7f ~
ADDRESS /5176 ,~f~ tJ,~) tL-_
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
C{. 7/7
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
..x~~IR TST
d~... ~
/II, ,'\.\,t a<< L-9.t..5
/
~ORK SATISFACTO
o CORRECT ACTI A
o CORRECT WO
Inspector:
. ROCEED
PROCEED
L FOR REINSPECTION BEFORE COVERING
CAL
Owner/Contr:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI