HomeMy WebLinkAboutMech Permit 02-0674
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONINGIFIREPLACE PERlVlll'
Date Rec'd
L Pink File
2. Green City
3 . Yellow Applicant
PERMIT NOO;1)_ lle2!J'"
~7ING (office use)
(Please type or print and sign at bv~;""~.)
. ADDRESS
'390/ IItdiJevt po~ IJlj~('
.
LEGAL DESCRIPTION (office use only)
LOTd-BLOCK 2ADDITION ()tw1J~ R;'ctt2j2.-/ (s-r PID~dS~-Od.I-O
, n (I
OWNER, -./.,
(Name) K Iv [j\ fYI ex Y' / eV' (Phone) 9'5~-~7--a8o/J'
3 qs / IIlJ /1 et'\ (J rJ VL rO- I 1" (
, ~
,
APPLICANT" .\. J1 t1 / 17 l II D iJ.p
(Name) l=\ Y' PSt.t;e- L'JJ Y'lAer //f{ (e OLI'lv'e:J (Phone) q~^ - [(-90 .....(J?~~
(Address) SoSrJ U), fj fu-J /:1 (3u,ftltsu/!lo r JI11~J. L;:C;-332
(Address) (City) ~" (Zip Code)
(Contact Person) Kc ~t- ~.. f) V f/- /YlS. (Phone) 9 '5J -gt~1 -0757
APPLICANT SIGNATURE . ,~O1O~' DATE -kJ?J / (l..2
- {/' ~ r &
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
lUG.
(Address)
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam PLEASE NOTE:
OGravity 0 Hot Water Air Conditioner Units
o Mechanical 0 Radiation Cannot Encroach into
OAir Conditioning 0 Special Devices Required Side Yard
DVent. System 0 Other Devices Setbacks
FIREPLACE MAKE AND MODEL ~ -G-I(J nwrJ a.l ; 117SlIffllJUe. Xys(Jyi_
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ .
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
;;Bet 5""0
. .50
LfO,. aU
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
paig L/{)IOO
Date (p J (; / ~ J-
Receipt ~/ S-J
BYF
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECT JON NOTICE
DATE TIME
ADDRESS
3'1sl
SCHEDULED (,/1'" /0 t,.. A ..:;r--,
1JJl~,<~~ ~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(') ?" --~ 7 '-/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI ~ 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP lit FIREPLACE FINAL
o PLUMBING FINAL.: A'1\J\ , GASLlNE;.AIR TST
o MECH FINAL ll..t::S/ 0 F-. f'.
COMMENTS:
(1()~ ~
- - c:-
'/D WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT JtW:RK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: "I Owner/Contr:
CALL 447.98-5~ OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSJiOTI