HomeMy WebLinkAboutMech Permit 02-1491
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;e:n ~!;y PERMIT NO. 0 (') - II jO~
3. Yellow Applicant d\. '-1'~
(Please type or print and sign at bottom)
ADDRESS
/ { p '~:>7 ~V Y"11 vlOcx1 Kd.
LEGAL D~~C~lfION (office use only) .
Lo~8 BrOCK ADDITION f! m;{i;u..-ood
OWNER
(Name)
ramCL (
ItIJQ?;;1
\JJl?r7 J;l-z./ofF
No r'1/0 waxl Kc1,
(Phone) gC)2 -w- ~tJS-
(Address)
ZONING (office use)
I2ISD
PID;7 5 - /l//- C)'-fO -C>
APPLICANT......, r '.'.i Ii"
(Name) Y1 t l Si OV (JJV n d
, -
(Address) ~0/) W. ttwu 13
- (Ad&ess)
(Contact Person) ~~. ~' 'e- (Jy M(jf'>~ (Phone)
APPLICANT SIGNATURE _ _' ~ - DATE !t!J;:;J-/"n?
- - - -
( f '--.)
APPLICANT PLEASE COMPLETE BELOjV
DNEW CONSTRUCTION 0 REPLACEMENT SJAL TERA TIONS
FURNACE MAKE AND MODEL FUEL
(Phone) qtjZ- gQO-()7c;6
Purn5>VI'//G l8S?3'7
(City)
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent System
FIREPLACE MAKE AND MODEL tfJ].(1 ldtaJ- - CflJ XL
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39,50 minimum
Residential, Heating & AIC (New Construction) $99,50
Residential, Heating Only (New Construction) .$64.50 /'
Estimated Cost $ . '
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
'1!/.PJO
i';'" .50
....,,-),00
(Office lise Only)
, .
This Application Becomes Your Building Permit When Approved
Paid t/ ~ uzJ
Date 11- 13-' a3.-
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
(Zip Code)
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39,50
$39.50
ReceiPL.j;' 9b~
By r .';J-
/I.~
lJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
((-20 -OL iOfJ
ADDRESS -'Y '53~ ~)"..u...~Jl ~.....
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O~ - \~,\
o FOOTING
o FOUNDATION
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 EXIGRAD/FILLlNG
~. COMPLAINT
~ FIREPLACE RI
o FIREPLACE FINAL
~GASLlNE AIR TST
o
COMMENTS:
~K SATISFACTORY, PROCEED
o COR7~AND PROCEED
o COR . CT W . CALL FOR REINSPECTION BEFORE COVERING
Inspecto ~" Owner/Contr:
CALL :.r,-9~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNQTJ