HomeMy WebLinkAboutMech Permit 02-0782
4::- 9-02; 7:29AM
6124474245;# 1
CITY OF PRIOR LAKE
!hATING/AIR CONDITIONlNGJ~u<EPLACE PERMIT
Date Ree'd
(Please ~e or mint and siRD at botInm)
ADDRESS
Lj Dl\3 2ili? C.J Q-\)f~) ~ ~ - k:). c .
LEGAL DESCRIPTION (olIice"" 0Gly) /J .
LOT 3BLOCK ~ ADDmON V(WJA/nA/WJ1JJ /J:t.:L
J (7
OWNER .
(Name) ~{) fY\' ~(\
(Address)
=r '?,\ "lms;. ,,\ ( 0 .....uc r~l0q ci-I'f I C.
(Address)' l~l\)> I Tl V1rY( 0 \l~\(() At'f.S >
(Address)
I, Pink ,u.
2. ar- ell)'
3. VIUOW AppIlcInl
rl!J.KMIT.~O.~~_ .78~
ZONlNG (office use)
(C( sD
PID ~S. (}<iSCf- 060.-0
(phone) ilJJ;2. - ~ ~C- 5~c,
'.
(phone) ck;-,j. ~~<i:~~': ':~ ~:':.:;<:'
So 1 Yl f\9 5'S3t~
(City) 4 (Zip Code)
(Contact Person) " (phone)
APPLIo:.NTSIGNATURE _~~~\ -' DATE -1P -~CR-o?--
-'-.--' - .
APPLICANT PLEASE COMPLETE BELOW
[]NEW CONSTRUCTION )i2rREPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER. PLANT
. . OWann Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical . 0 Radiation
~ir Conditioning 0 Special Devices
.....Ovcnt. System 0 Other Devices
FIREPLACE MAKE AND MODEL
PLEASE N01'E: .
Air Conditioner Units.
Cannot Encroach into
Required Side Yard
Setbacks
-"---- -- --
.. - -
FEES....nJi,DULE
Ipdustrial, Commercial" Multi-Family 1 % of job cost Residential, Gas Pireplace
$39.50 minimum . ...-.. ... .
Residential. Heating & AlC (New Construction) $99.50 Residential, Additions &. Alterations
Residential. Heating Only (New Construction) $64.50 ~idaitilll. AC Only
Estimated Cost $ 62.DOD.OO
S39.50
$39.50
$39-stl)
Building Permit ##_
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMlTFEE
(Offitt Use Only)
This Application Becomes Your IJuilding Permit Wben Approved
BUilding Omcial
Dale
.___. .._ _A_1ft. .,__~ ......r..... ..All'" A111A1otf
$
$
S
:~.~\:
.50
Lf () ,06
. ....."'-
I" . . '
Paid~ tVt? ,,?l0
~ate1_/_()~
~ceiP2';P~ '3. ~ .
By {}eL/
/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
qtJLf3
SCHEDULED 'J ~ l.. f.' (J-r:;
,
~~~,
I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJ 2. -7 r:J.-
o FOOTING
o FOUNDATION
o FRAMING ~
o INSULA TIO
FINAL
~ SITE INSPEC N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
A. e,
~~~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO/2.ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ U- t Owner/Contr:
- J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl