HomeMy WebLinkAboutMech Permit 02-1014
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMI1.
... ~
Date Rec'd
6' -- i!- P- 07.-
(Please type or print and silm at bv......~)
ADDRESS
~:~;, ~!~. I PERMIT NO. /l'> _ /0/ A_
3. Yellow Applicant C/~".-
/..5370 ?/J# // ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
. LOT r BLOCK I ADDITION
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OWNER
(Name)
(Phone)
(Address)
APPLICANT(, ~ J /-J ~
(Name) 1 af'1I er ne~ I::~
(Address) J/.. K:) 0 ()-t!; vvq II V t .r I
\ (Address)
(Contact Person) D..( _ Y\ f\ I ~ I
APPLICANT SIGNATURE D...I/V\~,.J U ~~
(Phone) CJ 5 <.- ~10 -~'1t6
~ Vet'" e., ~S? 7~
(City) v (Zip Code)
(Phone) J I
DATE ___~ /.2(} //J;/
//"1'
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWann Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
R PLANT
REQUEST FOR INSPECTI~
SENT TO HOMEOWNER. ___
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach mto
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit # 0 Z-- -10 14-
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 39,S'D
$ .50
$ -"fi)~ dO
Paid 4'a. a7)
Date y_ V -d l.-,.... By
(Office Use Only)
This APP1M'ca 'on omes Your Building Permit When Approved
9- 'V/-tJ 7-
Bu ding Official Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
)-27
.. .,
ADDRESS /6370 frl;4. flOMr/-- fL:1
OWNER CONTR.
PHONE NO. PERMIT NO. :2 - 16/'1
o FOOTING o PLUMBING RI o EXIGRADIFILLING
~OUNDATION o MECH RI o COMPLAINT
RAMING o WATER HOOKUP o FIREPLACE RI
INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ~/,^C1{c.. _
~ ...........
--
/' ......-:- ( -" )
/ /' 05.fJ '(I"L
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( (-- /
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: M 1-J,::r01 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
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Helllltg Conback){ ~'f
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Dale g~~"
PeRMO ~ t
PercenI CO2 <i ;
PercenI CO .& 0 t
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