HomeMy WebLinkAboutMech Permit 02-1504
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and sign at bottom)
, ADDRESS:2, l
I. Pink
2. Green
3. Yellow
~~~, I PERMIT NO. 0" -/5ciL1
Applicant ,:;A J 7
{6~O1) ~~
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ZONING (office use)
I~ I
LEGAL DESCRIPTION (office use only)
LOT Lv BLOCK H ADDITION
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Pr7/C7<' h M/t ( &z
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lJi i {<) ,~d PIDd.. 5.... OJ tp ~- L~ (/I-{)
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OWNER \.....
(N ame) -..\J(
.MovM \G
~}v~
(Phone)
Of 7.:2 - 4 L/ 7 -100/17
,
(Address)
~~;~fANT ~\NYI-:-'\J \Ill'. . .~ ,"" A . C (Phone? '1"'5) - J(9q- (J~S
(Address) L~Q~\ '{L\~. ~\cGY\ r\ fN-f. <) I 5ovvatl..e ~7-37~
(Address) (City) / - (Zip Code)
(Contact Person) (\UU <t ~ (Phone) ~
APPLICANTSIG~ATURE 1\ll..Lt,t.t\.AAID-1!V\ DATE- II ( I W;;L
\j IJ ,
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL lf~ 1fB-X G ~;~ V .3 0 '7 LJ FUEL AM. q tr/~
FLUE SIZE RETURNOPEN~GS - INPUT ~ ~ UO[) , OUTPUT h9Y OV-O
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
o Gravity 0 Hot Water
o Mechanical. . ,0 Radiation
~ir Conditioningt&J11l5t HSX leJ- 0 Special Devices
JVent. System ( ;l-n)1'\,)) O;l.t..f 0 Other Devices
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I d . 1 C . I REQUEST FOR INSPECTION
n ustna ommerCla
, SENT TO HOMEOWNER. NO
Residential, Heating & RESPONSE - CLOSE FILE
Residential, Heating Or 4/2003
EDULE
Residential, Gas Fireplace
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
30,50
.50
4VLOO
(Office Use Only)
Building Official
Date
-...
Paid ill).. c'.Y/.) Receipt No. / d
7'/ /~I I L/~9~Q
Date, I.. c- -A A-- )3y
/1- ,'":I' .(/"
,
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This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE {")/q/tJ~ LfrfJw..
INSPECTION NOTICE SCHEDULED
ADDRESS ((277 ~~%pk~ ChvdJo
"-
OWNER CONTR.
PHONE NO. PERMIT NO. 2 -/.01{
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION I MECH FINAL 0
COMMENTS:
/~ 7..k:'~ 1)~~q'~..J? ~
- 1=b-A~^, ~~ ~ <~/~-fr\J(y
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1--0 ~ ~ A-e,. f--~(Tev/~'~_.
- . <JQiw .~~----
~~1-6v1 ,.,
o WORK SATISFACTORY, PROCEED
~ECT ACTION ANn PRoc~~n . ~
\... 'V CORRECT WORK: CALL FOR REINSPECTI~N BEFORE COVERIN~
Inspector: ~ ..." Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ