HomeMy WebLinkAboutMech Permit 02-1062
06/21/02 FRI 08:36 FAX 6124474245
CITY OF PRIOR LAKE
141 001
ell i OF PRIOR LAKE
I1~A TING/AIR CONDII10NING/~.lJ:<EPLACE PERl\iu.l
(Please t'IDlI or urine 11I4 51_ at t ." .....~
ADDRESS .
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;
LEGAL DESCR.t.r liON (~U$C only) /J A_
LOT /~BLOCKa .ADDmON ~d
&~ ..,." I' ~l"teA
...., (Address) / ~ '3 / ~ k. .., I, IX, !JVwt.
APPUCANT
(Name) KI-EVt HI.J~c:.. Z^(..
(Addres3) 13 (J7 S 'Pu:JlI-fcr- q;.A'/
(Address) .
(Contact Person) 7?J C 1. ~... r e /
APPLICANT SIGNATURE X v .:C'\Q ^ \ ~
Date Rec'd
I. PiN:
1 a.-
~. yet....
Sa- I ~.I!.Kl\'.lU l~O. (/.;2. - I 0 bl~
. ZONING (oftltuse) .
~/SO
VletU I~
PIDA5-/t{5 -OS~/-O
.
(phone) '51- Jog- ~()z.,'2-
(phone) 152. - <t<(("~:J.11
/'rt/) 'hAlrJ< S!3v7
(City) (Zip Code)
(Phone) ..22;.~ 'Jv/ - ~ 1/
DATE R'>>~o)....
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION [!] REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL ,4,.,4M.. 6()CA fJ1tJCI{o FUEL ANt'
FLUE SIZE' RETURN OPENINGS / INPUT 9tJ. (/00 lsTu OUTPUT t)J~t1"
TYPE OF SY.)lJ:..1v.1 HEATING OR POWER PLANT
OWann Air Plants 0 Steam
OGravity 0 Hot Water
.cI Mcchani~ 0 Radiation
. gAir Conditioning 0 Special Dcvices
OVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot~ach into
Requirid Side Yard
,...setbacks
/
FEE S\.nI!.DULE
IndustriaL Commercial & Multi-Family 1% of jOb cost Residential, Gas Fireplace
$39.50 minimum
Rc:sidc!ntial. Heatinl &. Ale (New Constnlcti m) 599.50 Residential Additions &. Altl:ntions
Residential, Hcatins Only (New Constructioll) $64..50 Residential, AC Only
Estimated Cost.S ."5 0 t)(J
$39.'0
~
)jY.:lO
Buildipg Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL .r.l!,,~ FEE
$
$
S
39. "50
~~. {}4\:-:/
( '---
Paid / '0 __ Receipt No. ~
~ , L-./d 7g- 0
Date8-_~{-or,-BY ~
1/
(om~ Use Only)
This ApplicaUon Becomes Your Building 'Permit When Approved
. '8uildlpl OOidal
Dille
24 hoar nodce for all inspections (951) 447-9850. fall (952) 447-4:145
DATE TIME
CITY OF PRIOR LAKE S
INSPECTION NOTICE SCHEDULED, 3 - -03
ADDRESS ./S~31 96&~~ L~
I '
OWNER CONTR.
PHONE NO. PERMIT NO. () .2. - 10 h ;(
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
Xf'FINAL 0 PLUMBING FINAL
r Ib SITE INSPECTION 0 MECH FINAL
COMMENTS: F ~
-----
o EX/GRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
0/
, \;-
~
yv
0/
(j,(i
-
~ORK SATISFACTORY, PROCEED
/0"'" CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:.m. Owner/Contr:
.~.........-
CALL 447-9tSO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
ll'ISNOTl