HomeMy WebLinkAboutMech Permit 02-1052
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/J4.1.KEPLACE PEAAll J.
(Please l.VDe or orint and sim at: .MJ.,.4)
ADDRESS
/ S 3~(p .BDJ ea,f-
C',"r e I c:..
LEGAL DESCRIPTION (office use only)
LOT~!BLOCK 1 ADDITION
.
D~
I. Pink File
2. Green City
3. Yellow Applicant
PERMIT NO~~"'-IOS"J,1..
--
ZO;::;G (ofliceuse)
/J1.d~k cf~
PID 1}....5 - _~ -O~~-O
OWNER 1__ /'I 11_
(Name) r n ~ \< e... l:r en Tc- j
(Address) / S 3 t, ~ B ob('~ (', 'rc.L:w
APPLICANT
(Name)
(Address)
i-~ni of 4: r SlOl"'U .',....~ ~~ne) ~ tJ 3 - J l J D
()A1{ura. C1>urf #~I ...s ho J<(l f)p(1 b:L~ SS3? <j
(Address) (City) I I (Zip Code)
/2q,2
l3o~
/~
(Contact Person)
APPLICANT SIGNATURE
(Phone) t, /2 . -~ J:J - 9 7..1/LL
Pr~lJr LeJ(e.y"w SS37~
I
(Phone)
DATE
g.,7~ .Z;~
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWann Air Plants
o Gravity
Cd ~hanical
~r Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ;2 t,OD. 00
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$39.50
$39.50
$39.50
Building Permit #
$
$
$
...g9~SD
.50
""ill) . QlL
Paid /I L( 0 I 00 Rec~~o77 7
Date R~ J.3 -oa-.PY ab./
1/
. .tOR LAKE
J nON NOTICE
SCHEDULED
DATE TIME
9-(, ,.pz- z " 10 - 4:"0
ADDRESS
/.53~('
---'
tf()jf'~ ~/~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION(1
o FRAMING
o INSULATION
FINAL
~~ITE INSPEC ION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
CP2tfQ/L
~
dZ - J () 5 Z-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
rrc:TST
rr1 A.C, ~,
, J
.tlwORK SATISFACTORY, PROCEED
~~-ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~J Owner/Contr:
CALL 447-9850 FO;{HE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI