HomeMy WebLinkAboutMech Permit 02-1328
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CITY OF PRIOR LAKE
HEATING/AlR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(please type or w..nr and d!1;!l at bottom)
ADDRESS
5"'1' 00 Zrv/W'l~ \, S t: S. c:
LEGAL DESCRIPTION (office U~e only)
LOT I~LOCK j ADDITION &~~ do?io (;,LJ.
~: ~;e~n ~!~ I PERMIT NO. A"_ /-3 -- cD
), V.I1_ Applle.n, Vol ~
ZONING (offi.ceUse)
leI
PID d5 -;f7- OLfd--o
O\\lNER
(Name)
h1u/ 8>/u"p
~~
(phone) ,J:;)h -' ..y7!?,~
(Address)
, A~PLICANy._ __ ..-J-- l' /J n
(Name) ~f'I~d~ a::-,
(AddTC::SS) (~/t:;;> I r--.. ~ nJ~ A~e
(/'.drlress)
(Contact Person)
d;nt _Zd,n,dJ}
(Phone) ~-~::;;J '-:1....
,/ij~ ,~s1) ;;>~-
{} (City) (Zip Code)
(Phone)
DA TE ,/~,,:~g~::.Q a
A.PPLICA.N'T SIGNATURE
APPLICANT PLEASE j:OMPLETE BELOW
ONEW~ ~EPLACEMENT o ALTERATIONS
FURNACE MAKE AND M~I,At/~ ~^IJ- ),7?iAJJtJ /7'6~..t./ FUEL
- --------
FLUE SIZE RETURN Or'.t::.N1NGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Stearn
o Hot Water
o Radiation
o Special Devices
DOrner Devices
PLEASE NOTE:
Air Conditioner Units
Carmot Encroach into
RequiTeld Side Yard
Setbacks
OWll....m Air Plants
o Gravil)'
g ~ic:al "
~r Co,..nditioning
oVem, System
FIREPLACE MAKE A},"D MODEL
TnduS1rial. Commercial & Multi-Pamily
FEE SCHEDULE
J % of job co~t Residential, Gas FiTeplace
$39,50 minimum
$99.50 Residen!bl, Additions & Alterations
$6.UO .Resld>on1;iz.1, AC Only
S39,50
C 5:39.50)
$39_50
Residential, Heating &. J.JC (New Construction)
Residenthl. Heat\!",g Only (Ne'" ConstructIon)
Estimated Cost S
Building Permit '#
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERi\:UT FEE
$
$
$
'Sq. bOo
,50
UI?~OO
Paid ~f1-$- 'I Receiptr!fdR7r
I Date /0 - la-oJ I BY~
V
(Orne, Use Only)
Tbis A~plication Becomes Your Building Permit When Approved
Building Officilll
Dale
24 hour notiee for all inspedibns (.952) 447-9850, (ll:'[ (952) 4474245
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~-~/-~
5ij~G BOkiVN
,
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
/!-/~ /11\
{ 1/ vj
\IV
~ t
( /1
------
~-13d-f?
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
{;7L
lNSNOTl
Jll'WORK SATISFACTORY, PROCEED
.Zo CORRECT ACTION AND PROCEED
o CORRECT .~O~ALL FOR REINSPECTlON BEFORE COVERING
Inspector: r fIT' ] - ~(~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!