HomeMy WebLinkAboutMech Permit 02-1341
tO/Ol/02 ,TUE 15:24 FAX 6124474245
CITY OF PRIOR LAKE
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III 001
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGlFlREPLACE PERMIT
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.., 2002
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(Please ewe or at _Sim at bottDml
ADDRESS /l
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LEGAL DESCRIPTION (oftler use only) ~ J:
LOT BLOCK .ADOmON ~ ~ ~
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~':.~J?('I (i Y1 'B Lt rtU cr ,- furttiLk- rO(J!.r1fJ.!) (Phone) CIS 2 - If XI- -5zL/3
(Address) It '8lf ZX(!.R.[S "if 8) v&. fxw Slav' f71 Y15!533 )
. (Phone) r{}3 ~ 47 J -/ Cf 55X
(Address) f67Jj T~~\ OOIIV1Ji, mIL :553tfD
A - . -(A~~U)' ". r I (City) (Zip cocSe)
(c'-'~ Yllth{ l .~ uc{. (Phone) ,
AppUCANTSIGNATURE -.;-1'(1). ~ rrrur DATIl / Oh/6:z..,
. ~~;;~~NT'])rHer ]1/LL -
... ,__ ._... _ APPLICANT PL~A~OMPLETE BELOW
[jN~W ~vNSTRUCTION ~PLACEMENT D ALTERATIONS 10t r
FURNACE MA~ /rl- MODE0&rn". 4F1J:' t 004 -5' I Cr,,,,iv 4STft IV j;,:;, v#L"':_! ~
FLUE SI.ZE ~ RE1VRN OPENINGS lllPU, J,\OfJII un>uT~<l'iD'J/T. ht>i/J
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plant, 'J Steam PLEASE NOTE:
~Gr'Vity ] Hot Willer Air Conditioner Units
Mechanical J Radiation Cannot Encroach 11'Ito
Air Conditioning 0 Special Devices Required Side Yard
Vent. System 0 Other Device. Setbacks
F!tu:PLACE MAKE AND MODEL
FEE SCHEDULE
Industrial. Commercial .t. Multi-Family t % of job cost Residential. GI$ Fireplace
S39.S0 minimum
Residential. Heating & NC (New ConstNction) $99. SO Residential. Additions &. Alterations
Residential. Heating Only (New Construction) $64,'0 Residential, AC Only
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Estimated Cost S 2Dl ?~5 Building Permit ##
$39.50
$39.50
S39.5O
HEA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
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$ .so.
$-ZJ)2,. ~
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(Ollke llsc OO'y)
24 hour notift for .11 llllpedlons (952) 447-9850, fax (952) ~7-414S
-Paid ~ 0 3, ~ ~ -.f"Cipt ~ ;}-?Cf V
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this ApplicatioD Becomes Your Building Permit When Apprcwed
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White - Building
Canary - Engineering
Pink - Planning
The ('f'ntrr of Ihe Like Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT J) II' t I'Z..-
APPLICATION RECEIVED dd-.
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
Accepted With Corrections ./
Denied
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Reviewed By: ~
Comments: ?t2() 11 ,. 06
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Date: /(Jh~ h a..-
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"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
lu-?'f
/f?V
ADDRESS
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L()~11 ~-ct:. /h
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~)t (Yt
CONTR.
PERMIT NO.
)., /JCI/, IJ4l //34)
/ ,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
rUY~Qt< /r'('j?/~cr
I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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O~ ""(--t'>t- re ~C)/T-)
D. WORK SATISFACTORY, PROCEED
rCORRECT ACTION AND PROCEED
o CORRECfi(JWO K, CALL FOR REINSPECTION BEFORE COVERING
. 0 :"\ 0- '1-
Inspector: ( - Y'l 0 Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI