HomeMy WebLinkAboutMech Permit 02-1236
CII i OF PRIOR LAKE
l1EA 111 iGI AIR CONDITIONING/li lKEPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
/0 - Z -tJ '2--
~!~. I PERMIT NO. 0 ? -( I
Applicant ~ b
~NING(__'
(Please type or orint and silUl at bottom)
ADDRESS
I4-W, CZhld'l ~I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) ~l!r 1~ ~ \1Oni '\.1bv-~h (Phone) ~- A"~- \n l 6-
(Address) ~~! ~\ ""Eeo.r h '"1Vl.U.l
APPLICANT ~ d ft....,
(Name) .n re./~ ~ W,ner (Phone) ct'i2..- ~{)... CDM
(Address) ~ \rJ- \~ 2tYeGt 1?flrrrw~'~ c:?C;-:-'Jl
(Address) (City) (Zip Code)
(Contact Person) ~l~ ~ \-l:7~. _ ~ or"' (Phone) ClPjz -~q{)....:D'1 ~~
APPLICANT SIGNATURE -th..{~/ J:~ DATE ~r:s/6J.-
I APPLI'AN~ PLE~ COMPLETE BELq,w
DNEW CONSTRUCTION 0 REPLACEMENT AL TERA TIONS
t1URNACE MAKE AND MODEL FUEL ~
,FLUE SIZE --!IIIf RETURN OPENINGS -!/IJ INPUT OUTPUT l
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL JLouu
I
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
~r qjl~ ('I- ~
- .-
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & NC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50/,
Estimated Cost _ '
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
Building Permit # 0 z.. - / z,Jb
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
?Y1.~
.50
~
(Office Use Only)
This Appli~fA ,~~ our Building Permit When Approved
e,YV::J t (I . l.- ~G "2.-
81 ilding Official Date
Paid 4'0. OV
Date I/It.
fr.(;'- z,,-o-z.-
Receipl~~r
By d ;
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
.....
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE nile
~j~?~
ADDRESS -1:t 30? 9NA ~
OWNER ~J.
PHONE NO.
PERMIT NO.
2.-/~3b
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 EXIGRADJFILLING
o COMPLAINT
o FIREPLACE RJ
~ FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
-t
}to 4" J~_ I ~.'~~~1
(i h;{ L ct~l-" ~/~ ~ ,. t92? q ..
~
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WO~ALJ FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!