HomeMy WebLinkAboutMech Permit 02-1324
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~.~.:n ~::y. I PERMIT NO.A'J_ /-:2, J/I
3. Yellow Apphcant V.?f ::/c;<..- r ,
LEGAL DESCRIPTION (office use only) J}
LOT d-B-LOCK I ADDITION fC,tJ.4{) b/ A/u...
I '--V7J 1-
OWNER ~ ,,/' A
(Name) l P Y' Y' ! {.,... 'f' t rY tJ V'
I~ ~() 0 ()1 a VI : f fl.kLiJ. 0 flJl {JV'(OV h f1 Ie I. 5S;-37~
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APPLICANT 11 AJ J /J 61 r t .A ()..
(Name) if31f 2 ~(1)..(J CO'f Vl tJ? 7/1,- e ff "fre.51{y () (Phone) qS-;J. - (J ~JJ- CJ 7...s;t:!
(Address) ,5 gq-o IIJ" If /,VI'A /3 t3t'I'A rl/,'//~ jJJf/I. 5$3.:?1
(Address) ~ . (City) (Zip Code)
(Contact Person) /V1 ~d fr ~ rI / J D (Phone) t) /;!). - j>"~ d -07511
APPLlCANTSIGNATURE /Ju.reJj1- 1,{~ DATE /0 I ~ /O:l-
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Please type or print and siltll at bottom)
ADDRESS
ISd-Oo lhanjfoJordL
Rik
o
. ZONING (office use)
ikJ Sj)
PID;;l5' - ;;? 53 - w;):- ()
(Phone) .!l2'-. - t26 !
(Address)
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL -1J Bnf -W'" 610 1'1 ode /: SL ---7S(J mJ~ Jas tlf'Y~l1I/eJllt--.
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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
$ ~ '~y bO
$",50
$ l../'O. (..-'-'
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid ~a (OV
Die> - f"O~
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receid~~ Lj
BY~
V
A rv OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
IA}..ob
~~.,-I-ol/
. ""
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
DATE TIME
/D-.1-3
1-' 3.0
~- f]2-<-(
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
IIII!!' GASLlNE AIR TST
~S'D
eye
-
( I) 5(q( uj) a/~ C)v-I-I1:'-r-
'-./
)i!f'WORK SATISFACTORY, PROCEED
./2r CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
llf/ 1]-02-
Inspector: r VIr 10- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI