HomeMy WebLinkAboutMech Permit 02-0267
CITY OF PRIOR LAKE
HEATING/AI~ ~()NDITIONING/FIREPLACE PERMIT
Date Rec' d
3-25-07-
; ~~n ~::y I PERMIT NO. ()., -0 ., / ..,
3. Yellow Applicant '- ~..f
(Please tvve or Print and si~ at tv~;"'.~)
ADDRESS
/4/ (g '0/ IN r! n I 1/ q tf"/,eo
ZONING (office use)
(!A, ~J
LEGAL DESCRIPTION (office use only)
LOT nBLOCK 2-ADDITION n/1PL--G H'I t ~ 2 IJP
PID Z5 -343 - ozt, - cJ
(Phone) 95;>- o/"~d- .7741.0
M.as:."-,.... 5"~f">
(City) (Zip Code)
. (Phone) ~/.;J.- ;?7t?-(!7;?L/(,
?- .;::J~e>07
OWNER
(Name)
(Phone)
(Address)
APPLICANT
(Name) gltw:~ ~J r;,/'v..e.-~r
(Address)
/7.3'r ~p,...., d.
- (Address)
(Contact Person)
~/K.
APPLICANT SIGNATURE
~ .---.-......-:::> ~
DATE
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Permit # 62- - 0 ZiP /
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
~LAC~AKE AND MODEL
~---
INPUT
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 39,50
$ .5.0
$ 4-0_ dl ./
(Office Use Only)
This Applic~t~~npJ\co~es Your Building Permit When Approved
Jf~ "3-7- S--O"L-
Building Official Date
Paid 4-a . c:rtJ
Date .-
"3 ~ 1..-::> -0 7
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
$39.50
$39.50
$39.50
Receipt JI?~3 ()
By Affi
/
ADDRESS
ILf/''1
DATE TIME
SCH~l;)ULED 3P:z/Ol. '1: "0
~. ':J/p(J) II~.
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
PERMIT NO.
tJ z, - a-t. 7
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP )l'J. FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL ~ GA~INE AIR TST
o MECH FINAL ~O~' f>.
COMMENT~ .ttt'ltl n ~ 1,p;tA; _ ~ ~
~~~.,
(1D ~ tn' ~ r
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o WORK SATISFACTORY, PROCEED
JOcORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: 1;;;: Owner/Contr:
V r
CALL 447-9850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl