HomeMy WebLinkAboutMech Permit 02-1389
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec
j().Z./-O-z.
L Pink File PERMIT NO
2. Green City . 0 z. ' 130.,01
3. Yellow Applicant C/ J
(Please ty[)e or Print and sign at bvoo~&~)
ADDRESS
f)Ql'i kLirlrtu)f\ fuy~ Jr- ~
OWNER ....., K'\-._
(Name) !J.l-LT' .~
507~ "Mirlt11JJY\ ~~ Tt. %
APPLICANT G a..'A L> Ill"t"v'., 11 /1/'\
(Name) UY'P ~ (",.1/ I I LV I
'^). rtw-u \ -3
(Addre~. - - i (City)
~ I ~ i ":>~ ~ (P~ne)
APPLICANT SIGNATURE //AiI.M-h~ DATE
-/APPLI~ANt P~E~~OMPLETE BEL W
DNEW CONSTRUCTION U REPLACEMENT L TERA TIONS
-fTTD"IT1CE..MAS-'=: ANnMO~L ~J"" ~ Gt 1(") ~~.Y1" FUEL tJ-ct\
FLUE SIZE A( RETURN OPENINGS INPUT 1J.f?, Oofl OUTPUT U
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
O~~ O~W~
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
~PLACEMAKEANDMO~ t\e.oJ- ~~\C b~--X\
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
(Address)
?<{fj{J
(Address)
(Contact Person) .e.::i ( -
7\
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
ZONING (office use)
PID
(Phone)
0c,2-44D-2&~
(Phone) _ C1CS7--- ~4.()--Dl9S
fun~;Jj{ C57?j3,
~
(Zip Code)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Estimated Cost $
Building Permit # 0 2.. ... C ~Cj
I
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Applicat~o, Becomes Your Building Permit When Approved
0J1 ( 10' 7--1. flf--.-/
Building Official Date
$
$
$
?/l.':i)
. . .50
~.-
Paid ~O rJV Receipt No. ---
..,. . ~/:r2...( So
Date I <l . 21~ d1--"1 By ~.ff .d.
/"
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
. CITY Of PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
,fJ 7t
j't-v(r.w...,
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
COMMENTS:
DATE TIME
l)-J..)
!().'U6
~.t, V< j
{'s if&!
o EXIGRADIFILLlNG
o COMPLAINT [)
,a'FIREPLACE RI
o FIREPLACE FINAL.: .
~ASLINE AIR TST
o
'WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: VVf I 0- ;... )-0- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI