HomeMy WebLinkAboutMech Permit 02-0288
- -.=.-=-. ~.. r r.J. U,K LAKE
@001
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date R~c'd
3-Z-?J -02-
(please tYPe or PI"41C and sign at bottom)
ADDRESS
~ '5 VC& s,Ci>u[)m
~; ~;'~n ~~~ 1 PERMIT NO'O?"O?O,tJl
1. y.nO'-\' Appl\..n' "" &V V
ZONING (offic~ Use)
.~s; f- ~
LEGAL DESCRIPTION (office Use only)
LOT
BLOCK
ADDITION
PID25-:72-2- - 0/8- 0
O\VNER
(Name) ,,')1 1',0
+ /l":"/'/'/~ Shr/U7'?/"'
C/Jd~~a :N/b.
(phone)
~~7;.. /9d'
(Address) ~tj'9h <
APPLICANT
(Name) T^...'l//1rt~D ();/l
CAddTc::ss)c9/~/() eo~J1 J Ht ~~ ~
(I'.d.dress)
(Phone)
,/=0 I-~, .
()
.i/CI'\-
)?;/h "
(City)
w>:::;) 'd-
S"-56d 2/
(Zip Code)
(Contact Person)
~';e;/..
(Phone)
APPLICA.NT SIONATURE
-6~~~
DATE
,,/.? - d;;;) - 0 'd....
APPLICANT PLEASE COMPLETE BELOW ./
DNEW CONSTRUCTION 0 REPLACEMENT ~ TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SrZE RETURN OPENINGS INPUT OUTPUT
'IYPE OF SYSTEM
HEATlliGORPOWERPLANT
OWa..-m Air Plants
o Gravit)'
o Mechanical
DAlr Conditioning
OVent. System
FIREPLACE MAKE ANn MODEL ~~ ..u C.,;~
o Stearn
o Hot Water
o Rndiatlon
o Special Deviccs
o .Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Require!d Side Yard
Setbacks
C("("'O / k I
Tndl.lSlrlaL Commercia! & Multi-Family
FEE SCHEDULE
1 % of job co~t Residentie.\. Gas Fireplace
S39.50 minimum
~99.50 Residentbi, Additions & Alterations
$611.50 .Resid~:;:t:::d, AC Only
S39.50
ResidentiaL. Heating &. J.JC (Ne::w Construction)
Resi.dttith.!. .Ht.~'tj!"'>g Only ('N~~! C~nstruc~ion)
S39.50
$1950
Estimated Cost oS
Building Permit #- 0 Z . () Z-PJf')
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
r -:s q, 5Q...
.50
Ht'i _ ~
(Offic, Use Only)
Tbis A~plit.ation Becomes Your Building Permit When Approved
Building Ofilc:iRI
DUe
Pai~ . 6v
I Da3-Z8 '02.-
Receipt No.
, 4-/54-2-
I BYfA-
24 hour notice for all inspedions (9S~) 447-9850, fu (9$2) 447-4'245
ADDRESS
l5"Cj~S
DATE TIME
SCHEDULED ~ 0 'Z- Il : ~ 0
~
CITY OF PRIOR LAKE
INSPECTIO~ NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() z. - ;l-~"
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
r
COMMENTS:(P) ~ ~
(>Q ~~1~~ t:JVII2- ~,
-U -or ------- I ,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o EXlGRADIFILLlNG
o COMPLAINT
p( FIREPLACE RI
o FIREPLACE FINAL
~ GASLINE AIR TST
o A.. "t".
~5~ Jt1~\. - i~~ '
"
o WORK SATISFACTORY, PROCEED
'fJJ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447~8;' F~R THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1l'ISNOTl