HomeMy WebLinkAboutMech Permit 02-1582
"
CITY OF PRIOR L::~'KE'
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
,
~: ~ ~~icant I.PERMIT NO. 0) - /5gJr-
(Please type or print and silO1 at bottom)
ADDRESS ZONING (office use)
ISJ'10 ~O ~ Qoocl PI
LEGAL DESCRlt' uON (office use only)
LOT
BLOCK
ADDITION
PID~5-31~- od/-()
OWNER .
(Name)TO^'l ,~rll!\~J- ~ 4!J.l^'~
(Address) \<;;).\..l() F~o.n ~ eou.d
APPLIC,ANT '-", .
(Name:(,ttl..hll!lnLl-n1J'l.O-?f ~ 1- ~r~~ (Phone) 'ltc3-3l5-7S00
(Address)~ LJ\~,~ n:} tLt'f,0: ~~~r-' Fb.-Jt. rnn ~c:,LJ'L/.c::..
! " Ciddress) 0 (City)
(Contact Person) -k r'-\",- ~J. ' . (Phone) ~lo3-31 S-7S/~
APPLICANT SIGNATURE 7f;'u:;;) J.j1f'./"\...Q/7?ia.~
(Phone) tlS'd. -~LlO-Y53(P
(Zip Code)
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT Ji'AL TERA nONS
FURNACE MAKE AND MODEL F,tJEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
.. OWann Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. 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 -1h-,,~'" .DJ.v3::J
Industrial, Commercial & Multi-Family
FEE SCHEDULE
t % 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 S SG;J'?6>O Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
~ 9 s-O
.50
4"0,00
(Office Use Only)
Building Ornclal
Date
Paid !-/tJ / cru
Date
/,;;)-/I-or
ReC~iP~~ 1 Q'1
By rY
(/
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fu (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS _ 5)..4 D
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
DATE TIME
.$ - Ie! -<:)''5
S'tJO
Fai~~/ \-t~ RrQ
CONTR.
PERMIT NO. :2 - J 55 2-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
......-- ,,-- \ ...~-
~ \ - . c::-- \..v...e- '" ,~
I~. ~--. ~\\
>r-e.~\
(\~t +o~ '"~t~~\-\~
~I~
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
ikt FIREPLACE FINAL
o GASLlNE AIR TST
o
~.
U ~
- ~y
)J
/>(1
~
r.Y
~iJ
~WORKSATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
~R REINSPECTION BEFORE COVERING
Inspector: " ~ J Owner/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/lOTI