HomeMy WebLinkAboutMechanical Permit #01-1418
CITY OF PRIOR LAKE
HEA TINq/AIR CONDI 1 IONINGI J1KEPLALE PERMIT
Date
I. Pink File
2. Green City
3. Yellow Applicant
(Please type or print and sign at bottom)
I ADDRESS
~/7ql fJ"..~or-Wo~ S~ S't:;
LEGAL DESCJAPTION (office use only)
Ut-' vr t \
~ BLOCK ADDITION EA bLe-~~(G. \}'U-A>
PID'2. S- 3>Z'" oU-o
OWNER
(Name) ,Gri'G John,J'o", (Phone) 9f/~- O/~t::I - tl/67o/
(Address) <7I..:?t;1 ~,"CVj.,Je.#C1~ ~ u/E"
APPLICANT r-L
(Name) (").7Q~~ 6,..~
J;..-;v, c ~ r
(Phone) q$;;) ~4/~,;>-;r~/.7
h4C~""'c; ~e;-..? 11'7
(City) (Zip Code)
(Phone) 6/;;> - PJ'7o - e>Po/~
(Address)
~/
t-J,
.~,,,~
(Address)
(Contact Person) J tH' I /e.
APPLICANT SIGNATURE ~_/~ .~,.
/'
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANT
DATE
OWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
t\ \.)A~ ~\O\fE- - ThA.\/L.((!;t
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
$39.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ A- 8 pO
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\'111 FEE
(Office Use~,) ~ "-
This t1~ . es Your Iiuilding per1t Wht Approved Paid 40."
f~ 1.-/ l2- t t.'f /0 ! Date f
Building fficial ' Dak r ~ f"!. I 0'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$
$
$
~ 't. 50
.50
~. -
Receipt No. J
\u" ,or
_ By ~\A-
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
rZ/ZI/61
1/:()7)
ADDRESS
L/ 3 '{-I
f~ uJ}
OWNER
PHONE NO.
CONTR.
PERMIT NO. () I -I'll r
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS: ~
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP @).8 FIREPLACE FINAL
o PLUMBING FINAL I!f GAS LINE AIR TST
o MECH FINAL 0
2~A,:r. - ~
)!WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~I Owner/Conte
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ