HomeMy WebLinkAboutMech Permit 02-0256
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and sign at bottom)
ADDRESS
rlo& ~ t.f- Ly u V\ 6 Au~ 6t:.
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK I ADDITION PI2-I ()~ 5()UIH
OWNER
(Name)
B{~-e,.v'\
~ SE
(Address)
l4rn h-e..
l
I Lli4 iX. ~
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
HAir Conditioning
DVent. System
I FIREPLACE MAKE AND MODEL
Date Rec'd
3-Z0 -OL
.'
1. Pink File PERMIT NO
2. Green City '07_0?~1
3. YeUow Applicant '- c........; w
ZONING (office use)
RISD
PID 25-0/7- 007-()
-
(Phone) ~ S ~ \fJ+ 1 SiS'lft
(Phone) q 5 ~ '\?4 ~- ~5
~ (~~ 5lW~p~~ 37'1
(Phone) q 5 ~ . ~q <f -aco 5
J
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
J- S Jt I V",,-
L'{OVl5
~;;~~ANfu,yy\sO \ lit -p(~
(Address) , ~ tf<6'r gJ,'1CDl-e..- d-6\~
(Address)
(Contact Person) fv\...J~ -e..,
APPLICANT SIGNATURE f.-J ~ ~C-- DATE 3- ~o -6~
APPLICA~T PLE~SE COMPLETE BELOW
DNEW CONSTRUCTION j2r1fuPLACEMENT D AL 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
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)
---
ResidentiJl....A!!ditions & Alterations
Residential, AC Only -:>-
$39.50
$39.50
$39.50
Estimated Cost $
Building Permit # OZ-O z..sfe.
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
~ 3-Z0-0~
Building Official Date
$
$
$
~q&c
.50
~() ,dJ
I
paid4-0.00
Date
.3-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Receipt ~o. /
~/S2-
By AM
tJ-
~OAT1 TIME
CITY C>>< PRIOR LAKE 3 ;2q o~ 4:.ro
. INSPECTION NOTICE SCHEDULED
~
ADDRESS /bb~4 1-~D~ Ave
f
OWNER CONTR.
PHONE NO. PERMIT NO. 0;;' - ;tsG:::.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION } 0 MECH FINAL
COMMENTS: ;+ IG
I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
h
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C~LL FOR REINSPECTION BEFORE COVERING
Inspector: ~,./ . .tJ.JAJI Owner/Contr:
CALL 447-9850 ;OR THJ NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNorl