HomeMy WebLinkAboutMech Permit 02-1112
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CITY OF PRIOR LAKE M
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~ ~:~ I PERMIT NO. A? I "7
3. Yellow Applicant V&.- ... I J ~
(Please type or print and si2Il at bv ..u~)
ADDRESS
S'1SCf A(l'fh/e.~ocd Dr #~
'P/,/'e>,. ~1L.L P1/Y r5:~7J.
r
ZifJfjOfficeUSe)
LEGAL DESCRL1" lION (office use only) J
LOT 3 BLOCKc) ADDITION,~ aJ~ ~[J6 IloLJ
PID Z.;- 2(<:; -~.c;
OWNER
(Name) S 6e,:Jhe""l.
-ri:>tt/vP
(Phone) ~S.t) '-10,).. - 035'(
Prh> ~ '-<<ILL. mlY ~71
,
(Address) .5"(sq A,.,h/~d Dr lvtC
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE ~'. ____ ;;> DATE er "9"'0 ""
~ :~I~6?kEASE COMPLETE BELOW
q/c, ONEW CONSTRUCTION ~ REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL """'ra~, '/u.cof?/')(!~tf'4I,.JR FUEL Na-tc,.~tKc.o.
FLUE SIZE RETURN OPENINGS INPUT R~.coo 1I1'-' OUTPUT ~aJo rpv
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
o Gravity
o Mechanical
SAir Conditioning
OVent. 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
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
(Office Use ~Iy) _ /
ThiS~1 D
Buildidl=
HEATING PERMIT FEE $ "2Q . '\'V
STATE SURCHARGE $ -.50
" TOTAL PErrr FEE $ +t>. -
.."'~ '~uilding pt:.rm. ,~n Approved Paid ~ ~ ....
v- Dat~ '7
'-) (. ate v-
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Receipt N04-3t?'t,(
By fL(J It '
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
CATE TIME_
SCHEDULED LL-'I-.=J If. / .
_~t/5qL ./fPlhleuxxxl j))-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
It- /~
I
/ / (lS-C- h (,.
L-/' .
d -1/rY~
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Y." l- -t{ - OJ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI