HomeMy WebLinkAboutMech Permit 02-0580
CITY OF PRIOR LAKE
HEATINGfAIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
2) - 2Z~Z-
I. Pink File PERMIT NO
2. Green City . O"-oS8tJ
3. Yellow Applicant V
(Please type or print and si~ at bu,"",,)
. ADDRESS
/73;;(() 70 Y'fJn ff) Ilf/CJ_ S vE:
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT hLOCK / ADDITION WOOLJ.ef ~G eJ7H 773J :3 fU)
PID 2.5-317 - 004 -0
OWNER --r: /111 k
(Name) ( cJ m / I / e, ~ e JIl.
(Address) /73 ao -LcJ Y'~Vl fo IJJ/ e- S (:..
APPLICANT. A ~ _ /11._ /I'^/ 11 1/ A ,\..L .
(Name)fX,.re..SlYjt~ L-OTI /f/ll~ PreJI<<ftAPhone) _~t:J;l-J:2P-07SF
(Address) 3-PY,~o W, I/W!J 13 BUV'f1\uI//e, /1/J1/. ~.5?2
(Address) (City) / (Zip Code)
(Contact Person) K, -I (Jib 7_0y /I/ns: (Phone) 9tf;;.. ~.-o 7.5J!i'
APPLICANT SIGNATURE .~/J a.':f~" DATE ltlClJlJ2WJ O~
'~ V
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Phone) 2~:J... -~-7/a 9$-
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation Cannot Encroach into
o Special Devices Required Side Yard
o Other Devices Setbacks
l/eaf-fV-6-/o Vt'e Vtv\ ~ ~S' S'l-oflP~
v
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % 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 $
Building Permit # tJZ - 0580
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 39. 5'0
$ .50
$ #-0- 60
(Office Use Only)
This Application Becomes Your Building Permit When Approved
~ 5~ZZ-t1Z-
Building Official Date
Paid
4-0.00
Da!,e.-
~-2l --02-
ReceiP~ZQ ~(p
By ""~
,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/r;~
SCHEDUt.ED G' ~O/;}-. 1 ( :"C<:)
Tb7Ln17o ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
d-~6
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
~COMPLAINT
FIREPLACE RI
IREPLACE FINAL F)Q
, ~SLlNE AIR TST V
o
COMMENTS:
(p j AJ.<LIl- -1:&
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~L FOR REINSPECTION BEFORE COVERING
Inspector: - Y7v-, Owner/Contr:
CALL 447.9850 ~;J THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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