HomeMy WebLinkAboutMech Permit 06-0994
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
Ii.LnG,
I. Pink
2. Green
3. Yellow
~l~ I PERMIT NO. 0" 0004
Applicant . 7 -,
(Please type or print and si~ at bottom)
ADDR~~ 00 IAJh i-le---tw'1 Q'd3e...
ZONING (office
use)
LEGAL DESCRu liON (office use only)
LOT BLOCK
ADDITION
PID Z~. l..17. 658 .0
OWNER
(Name)
rnllra' ~ To m \ 'tx;eJ1
'-'
(phone) Vl&z. ~?>~.l3,9G
(Address) ~ a~ abo~
APPLICANTT}, Lkn II Ll . L' b_ IL -71/\2.. '" ILl 0
(Name) ru;rl V tf( tbr , ~ ? 'tTi r (Phone) ~. "'C:f' . 2S t;{p I
(Add,.".) J0UJ'l V laL~-t. Nt: gra.~ (0'>1 GG~:21
(Contact Person) GrtCtitVLDVl (phone) 1/ffb .44Lf .(jSItJ7
APPLICANT SIGNATURE _ 9sVl DATE 10 .!;O. ()(p
APPLICANT PLEASE COMPLETE~ / / /+PO f)L(/V'l5
)?3NEW CONH~ucnON D REPLACEMENT 0( L TERA nONS e:.... (~
FURNACE MAKE AND MODEL Cllrrl ev FUEL IV 41-~'1
FLUE SIZE Z \ l PV { RETURN OPENINGS t;/ INP~T t-j ~~ OUTPUT '"S ~ olJD
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants
DGravity
o Mechanical
~Air Conditioning
DVent. 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
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AIC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $ ~ 15b
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$39.50
Industrial, Commercial & Multi-Family
Buildinv: Official
Date
Paid 46 ,00
Date/l. /. 0(,
$39.50
$39.50
/ftJ() II ~ + / tAl (.
-/0 .s t>/1 Lt5 (bd'-l
64S //~iV~1-
Receipt ~o. 5Z(g I 7 I jllf'J.-/-tt...
BYd I~
(/
Residential, Additions & Alterations
Residential, AC Only
Building Pennit #
$ 0/1.'30
$ -iQ
$ tfO.O(/
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/(-{,~
ADDRESS
/tfGos- wl-tlL rpd.l _IL~--;;A.-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t:..~ qql{
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
.AI1tECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
-
f\.;tw (-V,11 ~ -
L U~ 7 -J.- I~ k--<..
/-hv h5f-
/,)} ( -
PORK SATISFACTORY, PROCEED
o CORRECT ACTION AND ~ED
o CORRECT ~OY"7 rOR REINSPECTION BEFORE COVERING
Inspector: V . I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl