HomeMy WebLinkAboutMech Permit 02-0653
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/~l.KEPLACE PERMIT
Date Rec'd
~: :~n ~!~. I. PERMIT NO. () - / . 5?.~
3. Yellow ApplIcant ;l (0 J
(Please type or mint and sign at bottom)
ADDRESS
\1254
J)fU ~ f)
1hL' SE-
dvi-
ZONING (office use)
R\
LEGAL DESCRl.l:'uON (office use only)
LOT 0 BLOCK I ADDITION,i)~
OWNER ()
(Name) .y'~ Lir krA
1125Y ~etl.~&o 'Ue Sf-
~~r(~- ~ (p'ooneL.YC)/-I.IZ,?r II'IL!
(Address) 1414 ~ ~ toltJUU"" -r 1Lt- ~-r ~ ~108
(Address) (City) (Zip Code)
(Contact Person) ~\( GlSOL..)'
APPLICANT SIGNATURE t~ DATE
APPLIC~ PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT BrAL TERA TIONS
FURNACE MAKE AND MODEL FUEL
PlO.;;: '7- 37;;2 - 004-0
(Phone)
Q62-tu~Ct:i10
(Address)
(Phone)
FLUE SIZE
RETURN OPENINGS
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
L __,. 0 Other Devices
~ L..\ ~t... "'To
OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
r ~c::.,. Au....
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
(3 R.lu.....
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
-:1('\ .9:>
$~-
$ 50
$ L\O~
(Office Use Only)
Building Official
Date
Paid . /, cP
I/O,
Dateb_L/~
RecetIJi 31
BY~
.1is Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
1
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,. FINAL
(0 SITE INSPECTION
COMMENTS:
OA TE TIME
SCHEDULED "-a.'f-~ 9 30
/'?~~ &~ 11::0 IJv
- u '-'
CONTR.
PERMIT NO. ;:;2-~
o PLUMBING RI 0 EXlGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP~D FIREPLACE RI
o SEWER HOOKUP 0 IREPLACE FINAL
o PLUMBING FINA GA~~~AIR s1/
o MECH FINAL 0 (C"'1 ^--
'\
/7/7
C)/~
~ (/7
~
;>>IwORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~ALL FOR REINSPECTIO~. BEFORE COVERING
Inspector: - ~ /V, Owner/Contr:
CALL 447-9850 lOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl