HomeMy WebLinkAboutMech Permit 02-0469
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and siM at bottom)
ADDRESS 11$1'~ (ZDS.~
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK I ADDITION /C'NOtJ HIL. t-
OWNER
(Name)
bee..,: q v1 ( I]t/ ~ hi
/ 4-S! :.2-- ~~A1oD12
(Address)
APPLICANT
(N ame)
(Address)
:\ Ii (Address)
(Contact Person) ~.Y'\Jt::- ~
Date Rec'd
5- z-t) 2-
~. ~e:n ~:;y PERMIT NO.(J.I? -0 AIa
3. Yellow Applicant V ~fP I
~&
ZONING (office use)
,€./
PID26-3 {O - ()O 9-0
(Phone) q5 :2--~3 -7 ~dy
~vJ!
(Phone)
(City)
(Phone)
(Zip Code)
I / I
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APPLICANT SIGNATURE DATE
. APPLICA~ LEASE COMPLETE BE,O)"
DNEW CONSTRUCTION 0 REPLACEMENT ~L TERA TIONS
FURNACE MAKE AND MODEL FUEL
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
, J. Mechanical
. ~Air Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $)/1 5'0
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office lise Only)
This APPlirJUW. ~comes Your Building per. mit When Approved
KA/~~ 5... 'Zr'OZ-
Building Official Date
Residential, Additions & Alterations
~Il~;ul, rt,--, ~;'jf}
Building Permit # 02--04&1
$
$
$
'~q a -s~
'" / .50
~O .<90
paid40 _ (1)
Da~'/ ~ -02--
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$39.50
$39.50
$3'J.J~
Rece~~~1q
By fL-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~IN ULATION
INAL
E INSPECTION
COMMENTS:
DATE TIME
SCHEDULED t/.:::}} '5 -{8
/I/'S -Jd-.. I? L? g ~ u.-:bOd
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
r$ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ,Atf 5 -1,"fJ7
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNUTl
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