HomeMy WebLinkAboutMech Permit 02-1334
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and sie;n at bottom)
ADDRESS
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; :~n ~::y. I PERMIT NO. /")"1_/.-:::>. -::vl/
3. Yellow Apphcant V~ ::/ '::JLI
I
ZONING (office use)
,Ie LSD
LEGAL DESCRH' uON (office use only)
LOT 9~LOCK ADDITION
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APPLICANT.Q , A ".-nr /} c:lIA .--J
(Name) r ,Y{7J\oe un nif (PhOne)VI7'1-/LJI()'01~'"'h
'Jf&CX) .W. (~~ \~ ~A ~~ I ~ ~1
(Contact Person) ~(Lw!_, ~ (Phone) ~
APPLICANT SIGNATURE -'-ZLI/M . YJ~~ DATE I D PI /0 ~
) 1/ V . , ,
-"..PPLICAN'/ PLEAS MPLETE BEL9W
DNEW CON'sTRUCTION D REPLACEMENT \fPAL TERA TIONS . 1\ /"
FURNACE MAKE AND MODEL -f\n}th t q Jl )( t..-- FUEL ~
FLUE SIZE ~ \\ RETURN OPENINGS ~ . INpUT .?J:4OOD OUTPUT ~
~~ TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam PLEASE NOTE:
OGravity 0 Hot Water Air Conditioner Units
o Mechanical 0 Radiation Cannot Encroach into
DAir Conditioning 0 Special Devices Required Side Yard
DVent. System 0 Other Devices Setbacks
FIREPLACE MAKE AND MODEL _ ~ q \ \ ~V--
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50 /
Estimated Cost $ dOOb .
PID~,)5'" ILl I- 0001)
OWNER
(Name)
(Phone) Q07.: A:An. 41:? ~
(Address)
(Address)
Industrial, Commercial & Multi-Family
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
-?f}.~
_ .50
4f). OT>
\ .
(Office Use Only)
Date
I i ,.,--
'-1 () I"
L()~ 11- IJa-..-
Receipt 4:J-K {&
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This Application Becomes Your Building Permit When Approved
Paid
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED J () -':J.:~.- o~
lI:3D
ADDRESS
:5 2l \ ~vtkr k-Vt
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
""2. - , ~S~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
.)!(FIREPLACE FINAL
o GASLlNE AIR TST
o
I. Co\:. 140 lA~+- 1.1 <sob.- Q CJ f
A I .
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/J,. f /
U l"---
::...J:ORK SATISFACTORY, PROCEED
)3 ~~RRECT ACTION AND PROCEED
o CORRECT wm CALL FOR REINSPECTION BEFORE COVERING
Inspector: t't::< Owner/Contr:
, .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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