HomeMy WebLinkAboutMech Permit 02-1598
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FI{mPbACE PERMIT
(Please type or print and sign at bottom)
ADDRESS
IS 4ry S-' :if k?-f:J--7-Lr-
PD: '1-:-
LEGAL DESCRLt" uON (office use only)
cjJ~/s-J-
LOT
BLOCK
ADDITION
OWNER
(Name) Lt:::r-...l q l3 l~ '( 1i Q 0 (,.(...11' (
(Address) / ~ l./7)' B (25'Zcl "'Z/y P CJ -'l-r
APPLICANT V ..~ .
(Name) / L?P~<"" :i p~/PUJ C-Z.-
(Address)~/~' , MA IT" Five.:., J); e -
- (Address)
Date Rec'd
~. ~~n ~!~ I PERMIT NO.p),,_ )5"af!/
3, Yellow Applicant ( .J d {,
ZONING (office use)
E1S~
PIDtf;5-(jr;r;- O()I{I
(~in}vv 1--4~ J L
(Phone) q S1- - l/ l.tD- .. <; fo 2,i!)
{)~ 0 ~ LJ4( "'7 /J7/\. ~~.s3{L.
(City) (Zip Code)
I ~ r2- 1/1/ -
(Contact Person) '-I j ""', /7 (Phone) '--Y ,( J..,.- 7 -r 0 .- \ \ ~7 2I'?
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APPLICANT SIGNATURE { :;:: (/ DATE 1"""2-- , L... - 0 ....,
/ A LICANT PLEASE COMPLETE B~OW
DNEW CON9TRucnON 0 REPLACEMENT ~AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
,
~CvJ\ \I ,j ~i2-N
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
FIREPLACE MAKE AND MODEL f1!1A...l ~ L
Industrial, Commercial & Multi-Family
Residential. Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
....,.
Estimated Cost $ ..2> DO 0
$39.50
$39.50
$39.50
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$
$
$
3Q.sD
.50
Yo -
pai'WI(~/ Or)
Date / J- / fa - Od--
R::/2lY701
By fj<'--J
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/S-47S
rfJJ~ ~v
.,.... - (
CONTR.
OWNER
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
COMMENTS:
DATE TIME
j)-k,5
fb~
;)-rW' /519
o EX/GRAD/FILLING
o COMPLAINT
.A3'""FIREPLACE RI
o FIREPLACE FINAL
Ja"'GASLlNE AIR TST
o
Ji'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~ ~O;' CALL FOR REINSPECTION BEFORE COVERING
Inspector: -/f.!!I~ I L- t-Y'~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/J'/SNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!