HomeMy WebLinkAboutMechanical Permit #01-1416
(~)
~_..V
CITY OF PRIOR LAKE
HEATING/AIR CONDlIIONING/FIREPLACE PERMIT
Date Re
I. Pink File
2. Green City
3. Yellow Applicant
PERMIT NOO/ - / if /,
(Please type or print and sign at bottom)
ADDRE~L./
/1l~ 6-' -';()f/ef/',S';l'a/! .&5.
ZONING (office use)
~-
LEGAL DESCRIPTIO.N (office use only) . flu.
f .~ /' .It A
LOT 'BLOCK ") ADDITION ~f2I40e-. (L,v~
PID2~-7$4. O~ ~
./ .
OWNER
(N ame)
'/ QYI '/2.1 ep ~r _
!'f7:5"'yo fI~Y'x /1"(1(1 JUtS
,
(Phone) q5~-t.(~t1-g~
(Address)
APPLICANT, '- J! /i
(N ame) IF, V't? <; /' (11 ~ (ot) W i.
(5R 50 tu~ Iu fI
(Address) ~
(Contact Person) Ji,/t /2in;zeV' _J///IlS' -
APPLICANT SIGNATURE ~1.. ~~/dA,'
V -
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
"tnestile.. (Phone) fJ5,j- fJt?,,1-0758
/s JJf1YJ4(J/r '/Ial JfJJtI. !F.!i3-J.:;?
(City) (Zip Code)
(Phone) ~~-~-(J_75f1
DATE (J (de, If} fl1/ bI
(Address)
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
FIREPLACE MAKE AND MODEL
D Steam PLEASE NOTE:
D Hot Water Air Conditioner Units
o Radiation Cannot Encroach into
o Special Devices Required Side Yard
o Other Devices Setbacks
llwi -)1)--6-10 7#{fJdaJ ~{jOOt1ClJnIJ C1asdfy~,:fll~lA-f
, v
Estimated Cost $
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Permit # 0 1- /_~S
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
i ~L PERl\'Ul ~E
e mes Your Buildiug pet. it w~_ Approved
. :J lz.-/fe/O/
Building (jfficiai'........ _ .- ,sate'
f !
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$
$
$
~q ~ <)0
.50
4-.0. -
Paid t
-
Date
,'Z.- \ ~tr
Re;t) lIo~
B - ,.,
12/J It
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
/ '-I7,;J. S-
DJ L. ~!(')O
SCHEDULED ,~ z,~~ ~ .
/~ r~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
41-/~/fo
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI ~ COMPLAINT
o WATER HOOKUP FIREPLACE RI
o SEWER HOOKUP FIREPLACE FINAL
o PLUMBING FINAL ~ GASLlNE AIR TST
o MECH FINAL 0 .
r
COMMENTS:{(j) ~, AD~~ H' ~
~-fJ~~~_fl
(8'l)~ ~ ~ ~ ~<1 F,lt ~
v~f~ ~ ~ A-,.' r
, -
-r.-..,U. . ~ / ,
..,..,: J-trUC.J('
o WORK SATISFACTORY, PROCEED
Jf CORRECT ACTION AND PROCEED
I 0 CORRECT W~ALL FOR REINSPECTION BEFORE COVERING
Inspector: . t- ~ l Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI