HomeMy WebLinkAboutMech Permit 02-1089
CITY OF PRIOR LAKE
HEA TINGI AIR CONDll10NINGI ~ lKEPLACE PERl\tUl
Date Ree'd
\
1. Pink
2. Green
3. Yellow
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~:~ I PERMIT NO. ~_)A t/Q
Applicant vcr u If ~
(Please tvIle or orint and silm at bv........)
ADDRESS
16728 LYONS AV
Z~/s3 (office use)
LEGAL DESCRIPTION (office use only)
LOT (?JBLOCK I ADDITION P ~ ~
PID~5-01'7- tJI3-{~
OWNER
(Name) JOAN BISCHOFF
(Phone) 952-440-1563
(Address) 16728 LYONS AV
APPLICANT
(Name) RONI S MECHANICAL. INC.
(Phone) 9S2-445-858C;
(Address)
12010 OLD BRICK vn an
(Address)
~Hj\KOPF.F. M1'\T
(City)
t:;t:;~7Q
(Zip Code)
(Contact Person) \ f} ^'. ." (phone)
APPLICANTSIGNATURE~rd..rJ.. (\LN~ DATE
APPLICA~T PLEASE COMPLETE BELOW
DNEW CONSTRUCTION r)(REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL \<L!.!.A.P Ac- \A.. \Cr1'Y) ~ FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
~'3)~
OWann Air Plants
o Gravity
o Mechanical
'gAir Conditioning
1JVent. System
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
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % 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 & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3q.~
$ . ~O
$ L.fO .00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
pai~L(O pi)
Date 9'3 'O^
Receipt Nl;~~1 J
By ,
~
V
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTIOM" NOTICE
C{ -)..S-
C{ :30
SCHEDULED
ADDRESS
ILI2-/( L. yon> ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
;2-(o~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLr~E AIR TST
o -1-.,/ L
COMMENTS:
"16'-
,."
:'.::" ,""":;~-
'-- - --.;""-,,.~
, WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~AffALL FOR REINSPECTION BEFORE COVERING
Inspector: Y fA t {,.. ,,{ Q- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOT/
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