HomeMy WebLinkAboutMech Permit 02-1415
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or vrint and siM at bottom)
ADDRESS
~. ::n ~!~ PERMIT NO.A') _), 115-1
3. Yellow Applicant U c;t.. '-1
/ S&;/1, ()
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J-~m/)N7
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ZONING (office use)
f2/SD
LEGAL DESCRIPTION (office use only)
LOT5BLOCK ~ADDITION J~/J1d ()--I~ S'^-
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(Address) 1:s-YJt D -,::::~~-C IJ \J '-L--
PIDr.?c,~'" riCJ.J. - OJ... "']-{)
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(Phone)~]"'-Wl>-~3 r
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APPLICANT 1/ /J
(Name) I~<-. ~/J.Si.JP{.,.riC57.J (Phone) -r"L~- 'I'-tD '" ~~192-0
(Address) /h/s:) /J7l9rN tllL~ ~,-t;" p{Ld)1- U1~ 6~d"t/
(Address) (City) (Zip Code)
(Contact Person) '-. I) /Yl-... _ (Phone) ?1fJnU-
APPLICANT SIGNATURE LY4~a DATE ~1~101....
~ptLICANT ;LEASE COMPLETE BELOW
DNEW coNKrRucnoN
FURNACE MAKE AND MODEL
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL -4,~ Y4JV L
INPUT
o AL TERA nONS
FUEL
OUTPUT
o REPLACEMENT
FLUE SIZE
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
, f\C..s~L Ft ~Uleu X T:'~/,.d)~ It
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 $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
3CfJS-V
.50
f.!{)-
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid L/~, ---- Recei~~ I f
DatLr,~g_O;;-_BY ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
//-). (
~.
ADDRESS
/ ~ c:Jj) F'of',4'10 y'f 1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
7- -1'-11.)
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP III FIREPLACE RI
o SEWER HOOKUP b FIREPLACE FINAL
o PLUMBING FINAL JiI GASLlNE AIR TST
o MECH FINAL 0
rC. k~~ /T\
(6;)
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT_~Ofl CA/Lr~o; ::OSLCTION BEFORE COVERING
Inspector: yvr :v. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl