HomeMy WebLinkAboutMech Permit 02-1005
Date Rec'd
I
CITY OF PRIOR LAKE
I1EATING/AIR CONDITIONINGI11KEPLACE PERl\'ut
41 Ex::/L
~: ~ ~:~. I PERMIT NO. 0"7 -I 00.51
3. Yellow Applicant t-
(Please tvDe or print and sian at t u:'<w_)
ADDRESS
o\'bD ~^,\~\\l A CA'('~
LEGAL DESCRu' uON (office use only)
LOT
BLOCK
ADDITION
ZONING (office use)
PID
OWNER
(Name)
(Phone){oD\-4~~-/~2-
~ CD-- \ f\J\eA\ ~C))
{~~
APPLICANT {\ ~ , "
(Name) M~Q..f\~<L ~('\. \~.
O~~ \?:b-\+t ~\.~.
~ ~ \.. J./ .. (Address)
(Contact Person) \ ~ t.:r
APPLICANTSIGNATURE \,,~~~~~ DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Address)
(Phone) C\ ~I;\- 4~ ~-\ q~
~\n~.O~\ ffit--l ~~olq
t (City) (Zip Code)
(Phone) Ct, ~'dC~ ~S - \ q ~'J
~--q-<::Jr-
(Address)
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWann Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
~r Conditioning 0 Special Devices
~ DVent. System . DOtherDevices
-r"iMC Lft\.,n MAKE AND MODEL Vtn MtJ'e 6 ~LCio-~ 0 \-Dr) ~
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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
~
Estimated Cost $ ~ ,~~
Building Permit # 02. - 10 oS-
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 2>Cl . be:::,
$ .50
$ 4(:). lJ..)
(Office Use Only)
This APpll~ ~oor Boildlng Permll When Approved
14IJft fd-{(P~ 02-
Building Otnclal Date
Paid k,\
40 J U V
Da~""1 (p_ 0 Z--
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Receipt ~il4' 1
By jj(J-
/f
DATE TIME
9-3-d-- 3'1~
~~
CITY OF PRIOR LAKE
INSPEC~Jt)lNGTICE
SCHEDULED
ADDRESS
3/~O
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
( 0 SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.f/- / ~
,
~ -IOtJS--
o EXlGRADtFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
f11-uL f-
/)/1 r/12-A.:/
}'t:JNORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'",pedoc ~" awne,lCo","
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
Il'iSliOTl