HomeMy WebLinkAboutMech Permit 02-1431
CITY OF PRIOR LAKE
I::l.EAl11~G/ AIR CONDlIl0NING/IfJ.KEPLACE PERlVIII'
'to.6D
Date Rec'd
L Pink
2. Green
3, Yellow
~:~, I PERMIT NO. -'1_//j-::?/
Applicant r 0( 7<..../
() / UJn uJaJ-er L V- /
tJ
LEGAL DESCRIPTION (office use only)
Lo.;34:nLOCK ~ ADDITION
(Please type or print and sign at bottom)
ADDRE~3q4
ZONING (ofliceuse)
r2;)'
et UfY) uJaI-ev- S
J'
PmdY ,'15~-(XY7-t)
OWNER
~mne)~pn~~nmp~
(phone) 651-905-3700
(Address) 1895 Plaza Dr Ste 200
Eagan, MN
55122
APPLICANT
~mne) Genz-Rvan Plumbin~ Ii, ~~
(phone) h" 1 -L.? 1- 1 1 L.L.
(Address) 14745 So Robert Trl Rosemount, MN 55068
. (Address) ~ (City) (Zip Code)
(Contact Perso;;;]il;tn~" fY):( " (Phnne) ^" -< ,,- 11 hi,
APPLICANTSIGNATVRE _ ~ LSDATE -'f) -Cft-I-do
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent System
o Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation Cannot Encroach into
o Special Devices Required Side Yard
o Other Devices Setbacks
UhrJ NaJfJv Lennox LFQ'i--(cf)!+
FIREPLACE MAKE AND MODEL
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 & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
3IJS;-O
- ,50
l.f:{k.tJ U
Paid L({) j(} () ReL}:!ttJ d-CJ
Date (OJ--7/0iF Byq-~
v
(f'':7-~ Use Qnly)
. .."is Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIO~ LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
:1 ]'q~
(;.( L/"'I Wl4Cv
OWNER
CONTR.
PHONE NO.
PERMIT NO.
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
(\')
\Y'
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIOti , I _
tyFlNAL tk&\.t-Y
o SITE INSPECTION
i ,
L (r;tc !~iLe
J
I
DATE TIME
/ (j'l /
,4r'i
JJ'?,/
.. '" - f
)..-~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: J1.?1 / 0/ '){..{)7- Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Il'ISNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!