HomeMy WebLinkAboutMech Permit 02-1573
CITY OF PRIOR LAKE
REA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~ ~~n ~:~ PERMIT NO./") '_ / ~.....'7I'J
3. Yellow Applicant L./ I?< V - LL.J
(Please type or print and sign at bottom)
ADDRESS
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r:: f' ,,,\ h IJ V' I) 1/ {J ~
ZONING (office use)
~/
,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDa~- (}.t, tf-6O;;'-()
~~~R () f~() n (!,/ ljJe, lIs (Phone) !l.,,-)l-lj(j~~/Ljg~ u.L
(Address) &~A3 F,'~he.V' l!JJuJ f}Lry~{lk~ 19S:%7Q~'7
APPLICANT \ 1 J? /,1 J JI ' J!
(Name) F l'~)! t Q. UJfJll err Q"III ~ (j'f~)/rJQ..(PhOne) ~~/2. ~ fl2IJ-O 7~!:f
(Address) :3.0',,0 (1).- 'lJf~~,. 1, j ~flll.Jj~ ,/!lJJJ/. S733?
(Address) ~ (City) / (Zip Code)
(Contact Person) illPJi.s;: r..t f (phone) Jl2;J.- r7(J,-(J7~e-
APPLICANTSIGNATURE~:I"-IA~f P~/ DATE /f}. / P7/ /T~"?
APPLICA T PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam PLEASE NOTE:
o Gravity 0 Hot Water Air Conditioner Units
o Mechanical 0 Radiation Cannot Encroach into
OAir Conditioning 0 Special Devices Required Side Yard
OVent. System 0 Other Devices Setbacks
FIREPLACE MAKE AND MODEL _& (.lGtc1V'c< R,'Y'e/: f/tJG{: t.{Js7Jt H8ed-aJ.lJ;~/1I ~
FEE SCHEDULE ' lV'e.ci6'~V1reJ,
Indy.strial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace $39.50
$39.50 minimum
Residential, Heating & AIC (New Construction) $99.50 Residential, Additions & Alterations $39.50
R~idential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
BCj.b-V
.SO
1-/1) 0 U
.
(Office Use Only)
Building Official
Date
Paid l( 0 ' 00
Date
( ;:) -10 "()d-
Rece2?Jq~~
~-
I
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE
\iV-/o3
J~3 /ft4.\~lit 1\Vf.. c.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
TIME
2 -/<;'73
o EX/GRAD/FILLING
o COMPLAINT
IJ FIREPLACE RI
o FIREPLACE FINAL
J1 GASLlNE AIR TST
o
COMMENTS:
26 tb A-wrre.~~ OC<.
I WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
=~CTSUtL FOR REINS:'::n::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE itQR YOUR PERSONAL HEALTH & SAFETY!
. -'
INSNOTl