HomeMy WebLinkAboutMechanical Permit 03-0697
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
(Please~orDrintandsi""att HOMEOWNER 11/03
ADDRESS
/ (0 73 Q)J ^ r-I-h I Qili'l~Jl Ed.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER l ~ \\' ^ "".1..
(Name) ,t), \a.. 1M IILAP'"t:"+-e. ~ \""
(Address) I (, 73,.{) JJII r--\'\"UAlccJI ((~
APPLICANTQ , _ _ I 1/ \ II Y1J
(Name)~~. t-M'as .... f:I, {
'.J
(Address) / 1"Sf?Y ~b6Jp, grooK ~ t-
. (Address)
(Contact personi:\"\p ()....J ~-e.........o\"\
APPLICANT SIGNATURE ...... 1h..v.. J 1-
/~ '-
Date Rec'd
(p. f. o.J
; =. ~:~ I hKlV.HT NO. JC'?-O" 97
3. Yellow Apphcant ~
:::;, w
ZONING (office use)
PIDZ5 .. OJ - ()(oZ-- 0
s;W
(phone) ~- 4<J7...;J791
(Phone) 9S)'" tJY7....!& ) J I)
Pc;{), t..,ke... IYJIV ~~3. ~
(City) (Zip Code)
(Phone) --9.SJ.-LJI./7--?~
DATE t- -;>-0:\
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION @EPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL ~'IUJ S\.~t'.,1 AMCD8DC93.f&. FUEL .AlA..,..
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
~ann Air Plants
DGravity
o Mechanical
.RAir Conditioning
OVen!. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
D .other Devices
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
.~~
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
~
ffiee Use Only)
This Application Becomes Your Building Permit When Approved
Building Omcial
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Residential, Additions & Alterations
Residential, AC Only
BuildingPermit # d.3.-06 r7
$
$
$
~
- .50
L/ () ,/){)
I pai~. (.n.,
I Dt~ 5. · }.
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
ReceiPt~q'l
By ~
o
DATE nME
CITY OF PRIOR LAKE (I
INSPECTION NOTICE SCHEDULED I 211CPr
l\ 1\ . n ^. n I
ADDRESS J.L1 "?~ N..~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ -Ur?
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
;rF-MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
.2..-/
/
\0'7
~.
/
/
/WORK SATISFACTORY, PROCEED
o CORRE AC 0 D PROCEED
C L FOR REINSPECTION BEFORE COVERING
Owner/Contr.
Inspect r:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI