HomeMy WebLinkAboutMechanical Permit #01-1155
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/o-/?- -()/
(Please type or print and sign at bottom)
ADDRESS
44/ . .Dr; 1)Y word S+. 5'E ~
~: ~~n ~!~ PERMIT NO./J/_ .. j 's',-' ,
3. Yellow Applicant VI If:;)
ZONING (office use)
l<-;;z
. ...
LEGAL DESCRIPTION (office use only)
LOT J /P BLOCK
ADDITION ~ Ih.ulr d/iLI a....S Plr+:)5-3:)-'J-O/6~:J
IOWNER { ~.. ,. ~ / \J. I _ ~ll
(Name) \. J ~ n 11< I . <>4-- '-'eV~ ~;se/'4Phone) q0Z-4W~ ~
(Address) t.J.c.f I Rio t'( ItILoo .4J-. 5. e .
APPLICANT r 'i( I
(Name) V1V~ fJfet-r J<... (Phone) gf17-- ~O. 0, S-A
(Address) ~Pnn j\[~ .-{ (S ~unSV,'J ~J0 ~7
~ ~ . . (~sS) . - (City) (Zip Code)
(Contact Person) ~ LC2.2A ~YJ)..\ ') (Phone)CPfl.-AfJ8-;107c/
APPLICANTSIGNATUJ.jAl f1?h..- e..(~_..., DATE Jb-L=D..j
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT &L TERA TIONS
FURNACE MAKE AND MODEL FUEL N cy
FLUE SIZE RETURN OPENINGS INPUT ~ B ~.. OUTPUT
( -
REA TING OR POWER PLANT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
(O?.v Wed-
I
o Steam
o Hot Water
o Radiation
o Special Devices
(t~~ces~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
~y
FIREPLACE MAKE AND MODEL
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $ ~tJ{')~{)() Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
?A-I? 0
.50
At 0 .(j()
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid$L/O/OO
Dat1o_/~_OI
Receipt No.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
r
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1~25'/tJl 9: tJ 0
ADDRES,S
'-/4/ I f'~u.JOuJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6J1-IIS-S
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
tl FINAL
;D SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
Ifi:t\ ,g GASLlNE AIR TST
~O..~
COMMENTS:
(!f1~_
~
~~~ 4lTI 7J{IL-
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~' I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI