HomeMy WebLinkAboutMech Permit 02-1361
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
~
Date Rec'd
J. Pink
2. Green
3. Yellow
Ji~icant I PERMIT NO.O~ -/ ~ 0,11
ADDRESS /!tJO/1 Umb/l* &' q
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
~Z/:~~;~ tJ"$
APPUCA% ~;.~ "
(Name) ,"'~ '/J. f.,/ lJJ$JffhSitJ
(Admess) P'fO 4/42t 4'1.4/~
/ (Addr s)
~/:'. 6
(Phone) q~d-7f/ -GYI/I
(Contact Person)
(Phone) U";)-,-1)/"'- e-c:t7lJ
~/(5 5r;'l~''/
(City) (Zip Code)
(Phone) //1 ;)- y/ ~ cp'if-J
DATE /cJ~(J}-r;j;l
DNEW CONSTRUCTION ~PLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
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
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ c:7t 1- ~
Building Permit #
~.5fp/l/ci 41'."
W/~/~'JPI4~~V/j
cbJK.
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ '-10.00
$ .50
$ #O/5<J
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~ Co (), {
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
( JAIl b~r~", .~
CONTR.
DATE TIME
7-)7
CIY
PERMIT NO.
') - I 3(, /
.
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~~ ~
0lo>,-
NO 'c
rI WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORREff CALL FOR RE;SPECTION BEFORE COVERING
Inspector: 3,- ).,7-0 Qwner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl