HomeMy WebLinkAboutMech Permit 02-1220
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~ ~:~ PERMIT NO. A '1_ I-:J-" 0
3. Yellow Applicant (/CI"- (T'tr
(Please type or print and si~ at bv .O!U~)
ADDRESS
ll{tfq~ /3LUG8/~h -reA-It.- )J.G;.
LEGAL DESCRIPTION (office use only)
LOT..,3 'BLOCK ~ ADDITION .k!. /lJ tJ b ~
OWNER
(Name) 'lRf (! I fJr T7 ('.E?tJ
(Address) ft.ft/Cis- 8LIJl!5BIRD -rRklt.- ).J. Ci
. ZONING (office use)
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PIPa.S-~)O"" /)'I3-{)
(Phone) ~- if'!s -:J2t,:L7
.rfJAI 0 ~ J....~ 11.1I /4-
(Phone) r; ~- 6::5'? -'if"tl'q/
e-M571tL htJ
(City)
(Phone) ?~q-,s:g?-l?Vq(
DATE Q-;2:S'"--O 2-
~~ MG
(Address)
(Contact Person) ::ri k Sum ....--.
APPLICANT SIGNATURE ~
t/
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL . FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
APPLICANT <-
(Name) J UpeelG~
(!~,J,~frc:rtJR.;s
1).Uo.
(Address)
U/~1
/Jo
TYPE OF SYSTEM
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
OGravity
o Mechanical
fSCfAir Conditioning
DVent. System
(JJre~ .~
j~RA-e~k>
3 TO,J
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
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ~ ~
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
jQ .50
.50
t/ (). 00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
paidllljO' ,/
Date (j'/,?'1- ^
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
00 '42~
(Zip Code)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No. D ")
IJ rl-~ 5 0--
By · - .
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
\,O....INSULA TION
)l...EINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~ Lf- ~S -03
,- ,
/L/qqS- ~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
It- /~
d -I d-~
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.........
~
\
----
~
/ I 1 1
( /111(,.... r(UI /
" L. / L '-' _______ /'
INSNOTl
...er9fc>RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ;1/ g-,- j.. q ~ Owner/Contr:
-'
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl