HomeMy WebLinkAboutMech Permit 02-1197
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/~u<EPLACE PERMIT
Date Rec'd
9'- 2.7- 0 2,
62-/oS8
~:~. I PERMIT NO./-r7 -1/9 7
Applicant vc.-
1. Pink
2. Green
3. Vellow
(Please type or print and si2ll at bottom)
ADDRESS
55 ?'S- 0 Vt;-;eu; OIC Cd ec!-I- C
ZONING (office use)
LEGAL DESCRli' nON (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Phone)
(Address)
APPLICANT
(Name) Q\-\P,\.5
t\At>LAN b
(phone)
~'oJIL I_~
(City)
q?"Z--~L./o-199 L{
(Address)
~5"iS
"1/~C1 K.... CI (L os E:
(Address)
(!)4.e.l5 ~AP\.A-'" ~ _
~ cJLJfb.J
JlA.A.i
.sS '5t"l.....
(Zip Code)
(Contact Person)
(Phone)
DATE
c.y -~3-D '-
APPLICANT SIGNATURE
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 HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
~PLAC~~ AND MODEL _
..... ....-- ~
sso-- 7f'{S
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
fI~Ar;V 6u
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit # OZ ,. / /97
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
"St;. !J()
.50
q-o.UV
(Office Use Only)
This App!~~;f~mes Your Building Permit When Approved
VI/'fJ q. 1-~' (/1../
Building Official Date
Paid 4- 0 . () 0
Date /J, 3 j .
VI'V .() ~
Receipt 43D ~ f/
By tf
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
CITY OF PRIOR LAKE
INSPECTION NOTICE...c'
DATE TIME
SCHEDULED
q-Jo
l f ;30
ADDRESS
6S'ff" ()(/~(O()j( Ct'r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
').. -{fer 7
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 EXIGRADIFILLING
o COMPLAINT
..RJ""FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
W 5e4l
{ IeL aJ2r; tJ <--.
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORREC~'J~' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Iff 1- J,O,,()J-..Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$NOTl