HomeMy WebLinkAboutMech Permit 02-1241
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
; ~:n ~:~ I PERMIT NO.
3. Yellow Applicant
ZONING (office use)
~/
(Please type or urint and sien at bottom)
ADDRESS
/S5 3 ~
-:::r ~ Pi- ;eeL
LEGAL DESClill' nON (""'" we only) tJ
LOT BLOCK ADDITION !~~ 3~
OWNER. /) I
(Name)~~ rnerSnN
(Address) J S~ F /6/' /I.f ReJ SI ~
PID';;>~'" c;3t:,"'OQb.-6
(Phone) 9S;J-l.J1/7-S3S'I
APPLICA~ ,
(Name)~t' \ ()t"'"" L~t:e.. ~ + tJ 1<.
~
(Address) / ~Sf?1/ fJeb6k Srl)l)K t,+-
(Address)
(Contactperson)~a.....J iAr~,^ J- ~
APPLICANT SIGNATURE ~ .~
(Phone)
.frJ/Jr LG..~c:....J1Vt/ ~3/J
(City) (Zip Code)
(Phone) 3s J. -'l!lJ- tl /l1)
DATE JD-~-{);;J
APPLICANT PLE~SE COMPLETE BELOW
DNEW CONSTRUCTION -Q-REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE I.t, II RETURN OPENINGS INPUT 1 {,I () (){) OUTPUT gO, MO '
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
~ 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
(- ~HEDULE
Industrial, Commercial & Multi-Family .. 1 % of job cost Residential, Gas Fireplace
, -119.50 min'
Residential, Heating & NC (New Construction) $99.5U Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~q.jSO
.50
'It) I DO
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
pai~O,~
Datr6_g -():) ..
Recet/p (:; ~
By ~
v
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
,
CITY OF PRIOR LAKE
INSPECTION NOTICE
...
DATE
TIME
SCHEDULED
Ilr ),'1
"1:30
ADDRESS
iss 3~
{r)h PdfYl'r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
}. -1)J--11
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 EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(t)
COMMENTS:
F c/'" v1 &1 t.<
-
- I
C10$-(
File
(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: y{;f 10-)- ~-oJ.-Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
Il'ISNOTl
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*Percenl ~ . 9, 9 *StKIc Temp. ~ 3~
Fil'llll In.pectlon
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