HomeMy WebLinkAboutMech Permit 02-0654
CITY OF PRIOR LAKE
ItEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or Drint and sign at bottom)
ADDRESS
3/65 6U7T6e;vt/T V~
LEGAL DESCRIPTION (office use only)
LOT 2-BLOCK
ADDITION jt/O~waoo
OWNER
(Name)
(Address)
.'
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
Date R,
c;,-~-O~
i:i;.:n ~!;. I PERMIT NO. OZ-()(p!i4-
3. Yellow Apphcant
(Phone) '152- 7~ [{ , 2b~O
}/tti] f1:~tt~ _ '7h~ ShO'! J
(City)'-...J ' (Zip Code)
1-5'). - 75" <t' - '],I) ~D
//- t/-oZ-
(Phone)
(Phone)
DATE
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
J
APPLICANT/i""/I"J ) I I,~ J "-
(Name) :J ~ Ilu-ht'\..<." r WI'.-
(Address) iJ-/3 ~. . /vtlJ :1",;[ 'iD
(Addr}"\ //1
(Contact Person) ~ lie- H Ht/Vl 0tt y ~
APPLICANT SIGNATURE~. J I (O~
U--
APPLICANT PLJi:A~E COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA TIONS
(lW~_NA~KE AND MODEL FUEL
FI;.,UE SIZE RETURN OPENINGS INPUT OUTPUT
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Permit # 0 2--- () (,!; 4-
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
Thb APPlica'rJ;:42J Your Baild;ug p",.mit When Approved
- ~ - 4- '17
Building leial Date
$ 3? E:V
$ .50
$ 4--0. f/V
Pa~ /") 0
-rv.O
Date
~-"..oZ-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
ZONING (office use)
~/JO
PID '25-141- (JofJ- I
.-
...
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt NO~;:"138
BY~
f
CITY OF PRIOR LAKE
INSPECTION NOTICE
. -SCHED~LED
ADDRESS
"3 I S"S- fJ c.rtft/ i1 t.JT
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
. MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
(j!i MECH FINAL
COMMENTS:
DATE TIME
q-/7
) I.' 10
J ,.],/
O)..~Or.S'-1 : ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
f~' ~~l_
, ." ,", ',;", , " :'" .', : ':' .,i;!."/
L.J"'.:,.'~' '~: .1>' ..'" ...
, WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: yt;f q -17~ 01-.. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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