HomeMy WebLinkAboutMech Permit 02-0412
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and sil!:D at bottom)
ADDRESS .
-/09/ [4{{ C/~/~L ~ IJE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
-rei/ni'
t;() <-} /
~#>>1~{St'/)
, .
h/././ //;1;/1'
-1l? /Li/
(Address)
Date Rec'd
I- ' Z#---o Z-
I. Pink File PERMIT NO
2. Green City . 0.17 _ O' AI?
3 Yellow Applicant '(., q V
ZONING (office use)
.e ISO
PID 2~~-()/;q - tJc4- 0
(Phone) 9.0;}~ L)LJO -;7uJvi?
~;;~fANT ,bi~ t?/A!tt1' );,;/));,////,"f1 Zip;;!; ~(PhO",) 0/d-, D / -509 ()
~:; --- .--:1 I J .,-"
/~)~) ~ i/~;:; / f; If//' h //;'!J ;;;y1 / < L5'7 r; t/
(Address) (/ (Cityif' -- (Zip Code)
(Contact Person) /;,A ~:)hl/ 2bcf/~A:<)4: (Phone) /d/d -: ,'r) /-c;d}--J
APPLICANTSIG~xiUR~~~:/ qh-/'-!//~'i DATE y-)i, /v7
/' /
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~ 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
FIREPLACE MAKE AND MODEL~L,-b/ JM! /O:I/J//~I II fh _ ~ Iy tf?/'14/" .///.<:/ tJYJ-"!Y'
- v
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39_50 minimum
$99.50
$64.50
Building Permit # 0 ~ - 0 4-I'z.,
3~5c
.50
7 ('/ - (" i:/ _
(Address)
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
OVent. System
Industrial, Commercial & Multi-Family
Residential, Heating & A/C (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost tJ L.IU1' 60
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Applicat~~~~~o~es Your Building Permit When Approved
fl;IIJY 4- -14--0 V
Building Official Date
Residential, Additions & Alterations
Residential, AC Only
$
$
$
paid4{J 00
Dat~
q l/4'.--t) 1/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
U A/I J Yl,L..h /J /) /}-Ji :.; ~
bYA'///7
$39.50
~
$39,50
Receiptj'lo.
~/74-'Z-
By AlL<
r
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
0" TE TIME
SCHEDULED
!-/)' .5'f-e/J
ADDRESS
40Q( r:3uu c.JClI7't"
I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
;2.- 4/L
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 EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
12 GASLlNE AIR TST
o
COMMENTS:
{f- j,,~ ,4.,....
I)'L-
,7 \
' ('....... .
- / ^/ /'. i ;/ /
; JL tJ /1 '-'
L-/
'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~O~~ALL FOR REINSPECTION BEFORE COVERING
Inspector: JI Vr Owner/Contr:
, I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl