HomeMy WebLinkAboutMech Permit 02-1374
CITY OF PRIOR LAKE
tlEA TING/ AIR CONDITIONING/ ~]J(EPLACE PERMIT
3Q50
Date Rec'd
i E:w ~iicant I. PERMIT NO'D~- /37.1Jt1
(P1east type or print and si2D- at bu~.......)
~D/6aQ '7 Hcnn,' nOJOivOI-f'
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ZONING (office use)
/(/
LEGAL DESCR..li-'uON (office use only)
LOTl! BLOCK / ADDITION -r~ i;A/Q Is r PIDJ.5~ (J 'l;).- QOLf-CD
\ /" .:.
~=R n rln(JU 0pf)iSon CJ!hone)qSa- '1(jS-fa;(j]
(Address) /:s~O/! H-er)11/(IfJ . (I~{.f'
APPLICANT ~ /J. . - I^~I (J~3-/
(Name) DL n 7 IVUJ/l..1t- _ ~~ne) tff:::::> I -7 t::::" / lfV
(Address) )Lf/}L(5 S.~()fxyf /,r/ K::&/ntf)).JL)- ~e::~0f'
_ (Address) frvl '- I IJ - (Ci?,) (Zip Code)
(Contact Person) / /l/Y2ilI12 / ( / tl7lCat<.) \" ~. (Phone) ~ 9 -L/;)5 -I , Y Y
APPLICANTSI;N~TURE ~ ~SDATE /0-1 s--o.a-
.Ai .t' LICANT PLEA~E COMPLETE BELOW
. DNEW CONSTRUCTION ~ REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL _Len/1/) X h ~f) ().fIV-(rf).f)-S~UEL Itai ~
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
'Pv<'Warm Air Plants
/QGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Stel\liU
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SLI1EDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
,JDnlce Use Only)
\~is Application Becomes Your Building Permit When Approved
Paid 39. SV
Date tP J\ ~
/0/10 L/O .
Building Ofiicial
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
.i
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
. ReCl1~Nqi0
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v
4-2-OY
Is J-o 7 I+-t ~ 1J1~ C/~/ L-
....
CITY OF PRIOR LAKE
INSPEC110N NOTICE
SCHEDULED
ADDRESS
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
PI/V~#IC{
COMMENTS:
I ()~
-...---
1fJ
r I '-<.--
DATE TIME
:+ . /3'7 i-(
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'WORK SATISFACTORY, PRO~EED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: f1;r? 4",,). - 0 :7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!