HomeMy WebLinkAboutMech Permit 06-0532
CI~'V OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:n ~~~. I PERMIT NO. d - L-S ., I
3_ Yellow Applicant , ~ ...:;J :::J
AD~/~ 0
I~o ~ ~-r
LEGAL DESCRIPTION (office use only)
"...-
LOT/~ BLOCK
E-&5-1 LUQueJ
ADDITION
OWNER
(Name)
oj ;e.-
G(!o6
(Phone)
(Address)
I 'E' r S e..1-
/ ~() 'f-z.. ~ t-
APPLICANT
(Name)
ZONING (office use)
1d-.707 /779
(Phone)
q~~d fc;v OOOS-
BURNSVIlI F HEATING & .Aie, INC.
3451 W. Bu~nsville Parkway
(Address)
(City) (Zip Code)
(Phone) q:{" d- ~ Y- () DO ~-
DATE &, -/ 3 -0 ~
(Contact Person)
APPLICANT SIGNATURE
~'J~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
D Mechanical
~ir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % 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 $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
;1 Cj S-o
.50
71c .CJO
(Office Use Only)
~ Application Becomes Your Building Permit When Approved Paid
Date
~!C; ~
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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
105-U
SCHEDULED
ADDRESS
ro'f&, 6 ISO (k yt
OWNER
CONTR.
{;-S3'-.
PHONE NO.
PERMIT NO.
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
r-Vv A <, C..{
.
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
il/"wORK SATISFACTORY, PROCEED
)b CORRECT ACTION AND PR EED
o CORRECT WORK, C R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYl
INSNOTI