HomeMy WebLinkAboutMech Permit 02-1390
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A .
CII r OF PRIOR LAKE Da\
HEA J. 11 ~GI AIR CONDITIONINGIFIREPLACE PERMIT
(Please type or print and si2ll at bu...u~)
ADDRESS
I. Pink File PERMIT NO ~Q/'
2. Green City . 1\ ') - I j ~v
3. Yellow Applicant I It?
:1~/O
Be../Se:i.M
sf
ZONING (office use)
Je/SD
LEGAL DESCRIPTION (office use only)
LOT I BLOCK ~ ADDITION
rl~ MiLJ
PIQ!~25- /7J..003-t)
OWNER
(Name)
sl--ev-c fh"S'i (..: oS"
:/210 8~/f~ S"
(Phone) !lS.J- ~~c- ~
(Address)
APPLICANT
(Name)
~AddreSS)
(Phone) ?S2~ V'hY- :l73~
J:JcOAr< Ave LWI. S~Qyt;/
(Address) (City) (Zip Code)
(Contact Person) ~c,i (Phone) ~:J~ V'/f"- Y~~1
APPLICANT SIGNATURE ~'/f:y DATE /0 -.2I-c~
~?LICANT PLEASE COMPLETE BELOW
ONEW C( kEQ ..-~~ 0 REPLACEMENT ~ALTERATIONS
FURNACE MAKE AND MODEl SENi!~S.T FOR. INSPEC FUEL
Dr; .10 CONT TION
FLUE SIZE ~v:-SPONSE 'RACTOR N 'UT OUTPUT
TYPE OF S - CLOSE FILE 0 ~ POWER PLANT
Gees
L/^e
pit... ..s
.;)o~t S-
OWarm Air Plants
OGravity
o Mechanical
.~ . J DAir Conditioning
~~ DVent. System
6 KE AND MODEL
l....J
o RadiatIon
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
lJ1a ,'e.s-t c -
f)(/L r J~ R,cl/
\J
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
( ..~39.5g)
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ .,c000 ~
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
j9-~
.50
11" ..60
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Paid LI~,~ Ret~6b
Date By -~
Date !6-~_ ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
TIME
I/-~
q'l/V
SCHEDULED
ADDRESS
3 )./ () /3a/sllH1 s:{
OWNER
CONTR.
PHONE NO.
;?-r~q()
PERMIT NO.
o FOOTING
o FOUNDA nON
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
o EXlGRADIFILLING
o COMPLAINT ./1
./ilr FIREPLACE RI ' L1)
o FIREPLACE FIN~
~ GASLlNE AIR TS(!1;
COMMENTS:
-
~ 4/r +-,0<;+
;" {- t
dtlY
/
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~O~CALL FOR REINSPECTlON BEFORE COVERING
Inspector: (Vr / {- 5"' ...()J- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~...