HomeMy WebLinkAboutMech Permit 02-0638
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and silm at bottom)
ADDRESS
!5{~ (b~
~. ~~n ~!~. I PERMIT NO. ,/) '} - / - 3% I
3. Yellow Applicant {/ C7f (p
f'1f~ ~:J
ZONING (office use)
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LEGAL DESCRu'nON (office use only)
ADDITION ~/J\../ a(/..jJ~
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(Address) IS I'J-~ fn l'Uft'\_' (il)ec{C"~
LOT ?,BLOCK
OWNER
(Name)
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{Pkone)
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PIo?.7-I;;.S - (/)()~- 0
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APPLICANT
(Name) ~I'ANOARO HEATING & AIR CONDITIONlNG..CD, (Phone)
410 WEST LAKE STREET
(Address) MfNl\{fAPOLlS. MN..5MOP~'>9QA
\. A ~12-824~S) (City) (Zip Code)
(Contact Person) ~~. ~ -- (Phone) l
APPLICANT SIGNATURE Y..J&~ ~ DATE "S/~~
APPLICA~L~ASE COMPLETE BELOW ·
DNEW CONSTRUCT!O}l 1:}(;tl~EMENT 0 AL TERA nONS I I .
FURNACE MAKE AND MODEL -Y&~( -,. FUEL -el ~t:Jf'n G
FLUE SIZE RETURN OPEN~GS - INPUT .3 ()? ~ OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
o Mechanical
~Air Conditioning
[Jv ent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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
$39.50
Estimated Cost $
d-~CZO
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~C{ . So
.50
\./O.OQ
(Office Use Only)
Building Official
Date
Paid j I 0-0
'7'0/
D~-3)-o^
Recet~'1 ;),1{
By
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This 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
SCHEDULEr1
.
DATE TIllE
j-I/
ADDRESS
/S-/).;L (;.....l"'t''''l Oaks 71-
OWNER
CONTR.
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 MECiFINAL
AI (~
'/
COMMENTS:
2-t;-:ld'
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/- I/JS< _ ri!~
L,.../' \; ....
;WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: J P y ( (-07 Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!