HomeMy WebLinkAboutMechanical Permit #01-1368
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/2- -S -PI
~. ~~:w ~:;y. I PERMIT NO. Ol:tJilf:;,- B.I
Apphcant .~,/f ~ lP ~ .
fi,j)
Z G (office use)
LEGAL DESCRIPTION (office use only)
LOT 4BLOCK
ADDITION
PID
OWNER
(Name)
lJo YI 't fJ1 (). r1 J f oS
530 ( 6ro ~S'
(Phone)
(Address)
/-
(Phone) 9~~-J'Pt1-~7~
'~
(Address)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ALTERATIONS
FURNACE MAKE AND MODEL f)oVPr F;~eflacjJsj;l'3(JSD /)1SerKUEL tILe
FLUE SIZE J -:-~ 11E1J.x RETURN OPENINGS INPUT 3ocJor) OUTPUT
Litl~r
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
o Mechanical
DAir 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
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 # 01- / 3~ ~
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
3 1. .S'/J
.50
LfrJ -O/J
(Office Use Only)
Building Official
---1 ~ ~lR -0 J
Date
r Building Permit When Approved Paid
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDUlED
IZ.Z,O -oj ..3 ~.t 0
ADDRESS
5.30/ I5MO~~ t,,112-
OWNER
. CONTR.
PHONE NO.
PERMIT NO.
/-/3"8
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 FINAL
o MECH FmAL
o EX/GRAD/FILLING
o COMPLAINT
~FIREPLACE RJ
@ 0 FIREPLACE FINAL
~GASLlNE AIR TST
o
COMMENTS:
.,
(!j~~e
A({, ~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~L~OR REINSPECTION BEFORE COVERING
Inspector: ~ l Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSI'IOTl