HomeMy WebLinkAboutMech Permit 02-0696
CITY OF PRIOR LAKE
\
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Uec'd
#'7/?
~: ~:'n ~!:y PERMIT NO&~ - /- 9/.-
3. Yellow Applicant {7\ W P
(Please type or print and si~ at bottom)
ADDRESS
ZONING (office use)
/6(P2;0 Frernnf]f Ave, Ill. I))
K/SO
LEGAL DESCRIPTION (office use only)
LOT .dm-OCK 5"ADDITION
(Address)
(cont~ct Person) rrhh ;/
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APPLICANT SIGNATURE
~/kIcvrJ !lie w _t) dt-
~~e~~___ _ (~-fe ,1/ f) Jj /1 f ~,( A!l( A- r (Phone{l5a -t.f'1 'l-6SSeJ
16u<3(bJ /rfYY)()/}fA/g AI W. Pj/jtirUZ/a //J1/J 653"7~~
1~;~~~ANT ~dU()/}I!2fJt~ At/1M, (Phone) 46?J-y</t5-;Qdj
(~~t5 /nllfh cJ+. waf d'1t:U-oWJ/ in).) 5SoiC/
(city) I . (Zip Code)
(Phone) iJ) :J-(j <It) -ie? OD
DATE @-/O-6r
(Address)
PID (;)5- d5~- O;l4-C'
(Address)
APPLIC NT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
/Jld:D
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATINGORPO~RPLANT
OUTPUT
OWarm Air Plants 0 Steam PLEASE NOTE:
OGravity 0 Hot Water Air Conditioner Units
o Mechanical 0 Radiation Cannot Encroach into
;eiAtr Conditioning 0 Special Devices . Required Side Yard
4ft OVent. System 0 Other Dcyic:::; Setba'.;.k~
Bl1.Epr ACE MAKE AND MODE/}arn'if (3RTRl1-6~6 g Va- IcYJ ft~
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
~
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 39./70
$ , .50
$ LfO: O()
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 4t' ,00 I Recei~/7~
Dat70_1 {-o&-- By P
V
24 hour notice foraU inspections (952) 447-9850, fax (952) 447-4245
DATE
~.
!t\ \.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCH!OULED
l/ - (~-<$
ADDRESS 15..k.~Co rt,o~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
2 - ~f(P
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 EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ Cif.SLlNE AIR TST
r-~'~'
COMMENTS:
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V\OU ~
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o WORK SATISFACTORY, PROCEED
o CORRE ACTION AND PROCEED
o COR ECTK::' CALL FOR REINSPECTION BEFORE COVERING
'nspe or: '--'I Owner/Contr:
7.9~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE"
CODE ~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl