HomeMy WebLinkAboutMechanical Permit 16-1226 GATE
TIME
CI �
TY OF
INSPECTIONPRIOR NOTICELAKE SCHEDULED
4f6 --4.1
ADDRESS CON"R.
OWNER --�-
PHONENPERMIT NO.
❑ FOOTING p PLUMBING RI
0 EX
IGRADI
FIL
LIN
G
0ON0 MECH RI 0 COMPLAINT
FRAMING 0 WATER HOOKUP ❑ FIREPLARI
❑ INSULATION ❑ SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL `a• E AIR TS7
❑ MECH FINAL '�irkCR-'
❑ SITE INSPECTION
COMMENTS'
1>COVORK SATISFACTORY,PROCEED
PROCEED CTION BEFORE COVERING
0 CORRECT ACTION AND REINSPE
CALL FOR
0 CORRECT WO: Owner'Contr:
4freoit CTION 24 HOURS IN ADVANCE.
Inspector: HE NEXT INSPE
ALL q47. 50 •.
CODE REQUIREMENTS
ARE FOR YOUR PERSONAL HEALTH&SAFE
INSNar,
t...1 l Y Ur YKIVK LAM. Date Hec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
U
�j�'NBSO�
'.PGreioken City Fde f�p PERMIT NO. / I
2. t�2 (p
3. Yellow Applicant
(Please type or print and sign at bottom ZONING(office use)
ADDRESS
OIAA-FC-rliA9 t
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER A Li ,I // (Phone) 07)441 —? 1'kI
(Address) `t D61A/1-ect
(Name) NT^ ` , 1 V In )
I.\ V 1 �(' V, 1 ` (Phone)
IAN i n
(Address) v uG 0 c 'PO 5 Lioi))
(Address) (City) (Zip
Code
(n (Phone)
fuI �/) i65"S1 °) C)
(Contact Person) a v 1'' .r , n An
APPLICANT SIGNATURE ,� DATE C 1 l/l1
APPLICANT PLEASE COMPLETE BELOW
:NEW CONSTRUCTION -REPLACEMENT Q ALTERATIONS
FURNACE MAKE AND MODEL psv0 2,-10,04 FUEL INIat A Sc4 s
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
Q Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
Hot Water
:Gravity 0 into Required Side Yard Setbacks.
1echanical 0 Radiation Fireplaces with Box Additions or
:Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
:Vent.System 0 Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50
$49.50 minimum
Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Estimated Cost$ .211 OIL CA) Building Permit #
HEATING PERMIT FEE $ 4-01 . 5 0
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid ;,� Rece t No.1 t
Dater C ,. ,L., By
Building Official Date l
2d hour nntirn far all incnt+rtinnc(9021 d47Aft4A