HomeMy WebLinkAboutMech Permit 02-1430
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec' d
i E:w ~l~icant I PERMIT NO. Ocr It/aol
(Please type or print and si~ at bottom)
ADDRESS ZONING (office use)
6l?J 1 A c..u rYiy C0ve-- '"TYo.-J \
}fJ I SO
LEGAL DESCRIPTION (office use only) 17 . . . .
LOT ~LOCK ADDITION (,~..I2iK~ PIL
OWNER V
(Name) b,h\c.- ~
(Address) 5~1 ~ (' AJ\(L.~ l.oVL -;raj I
PID~- O.:Y7- Odd.-l
(Phone) qL:52: 44o...l1a.:;
APPLICANT ,
(Name) f\rl...~(\e.., CnYt'\P y-
3<{,VjJ \t\\. ttNu - \3
.-<::. (Addr~ss)
(Contact Person) f1''vl e....- ()( M~ (Phone) ~
APPLlCANTSIGNATURE1Ai) lif ~ -- DATE ---1t1f2A/frZ.--'
I V I
APPLICANT PLEASE COMPLETE HELOp
. DNEW ONSTRUCTION 0 REPLACEMENT lKl AL TERA TIONS
f\'~~ JEI.IAKEANDMODEL ~i- k\~l() ~L--....t"T FUEL ~
FLUE SIZE~' RETURN OPENINGS INPUT ~1 eJro OUTPUT U
j ~
TYPE OF SYSTEM HEATING OR POWER PLANT
(Address)
(Phone) ott1l.-~C\O'" 010~
~y'~~\:;- \Y\~ ffi~:l)
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
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
FIREPLACE MAKE AND MODEL
~., {:J
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
Date
1f1. C7b
. :50
~.(1)
J tf1.} Receipt No. J 0""
L/(), LJa9 L7'6
/(/-:J9~;J- B~
o
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
(S7t.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
OA TE TIME
11-1
irJ.R
c (.) v(~1 t'".Ov( {1..-
,
CONTR.
INSNOTl
J.. -II.{ 3D
o EX/GRAD/FILLING
o COMPLAINT
JB' FIREPLACE RI
o FIREPLACE FINAL
JiY GASLlNE AIR TST
o
-
I WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT J~~ CALL FO~R REINSPECTION BEFORE COVERING
Inspector: ftlf' / (- 1 ())-.. Owner/Contr:
,
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP ~
o SEWER HOOKUP .
o PLUMBING FINAL.: .
o MECH FINAL
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!