HomeMy WebLinkAboutMech Permit 02-0213
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'h~,
1. Pink
2. Green
3, Yellow
~!~. I PERMIT NO. /f"\~,"" / """'1/':2 I
Applicant V ofY 0'- --..}
{'
Z,O,~,' " ' ," G (office use)
.1
(Please type or print and silUl at bottom)
ADDRESS ~
If1d3 .
Par k II) 00).
, -
01' /11 fJ~
I LEGAL DESCRIPTION (office use only)
LOTtJ-BwCK OADDITION/~ 5S:1: 3,d
.. (J
OWNER () II 1\ . .() _
(Name) ftLL/:!JL1 f..:..d1Lt' d (' al1
4 ~ r:1 9 fJ () 'r k tJ) (J 0/1 () (' r!l ~)
f'orner(1J/(eJ fJf"ivP. (phone) Q6:z-fV(JyJ7d
IJ} .11 U<J J?- 15 IA ('/1 Sf/ : II e J!lJlJ. ~-;-~.<: ~ .?
(Address) (City) / (Zip Code)
(Contact Person) ---K..tJ- !2iM 7 P ~~. 'J1S (Phone) Q5/, - lrtJ/} --07..s-f!
APPLICANTSIGNAlURE .~p.l~J DATE _/J1a/'c/LftfhJJ:;<'
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
PIDqlfJ-:_ g/7- /Jd..i ()
(Phone) -95;!2 -Lj(j? -s&,,/ h
(Address)
APPLICANT r \ ^ "A
(Name) ~Ps / [JI. ()
'5 )(", t;"' f)
... 0.
(Address)
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
OWarm Air Plants 0 Steam PLEASE NOTE:
OGravity 0 Hot Water Air Conditioner Units
o Mechanical 0 Radiation Cannot Encroach into
OAir Conditioning 0 Special Devices Required Side Yard
OVent. System 0 Other Devices Setbacks
FIREPLACE MAKE AND MODEL 1l1..a i -JV-G-J () #tot! ~L' sf. -!1S0 7I<.S d-rt2v1tJrtfll /_
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~~9-SD
50
40 100
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid (!;L(O .oJ
Dat3_ <? -0 (;)-
Receipt Nt; I d.. 8'3
By Pr6./
V
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE
TIME \
LlA77)
])v-
CITY OF'PRIOR LAKE
I~SPECTION NOTICE
ADDRESS
If~q
SCH~~ULED ~-~-~
~ ~ f! tf):; u.-JCJoct
PHONE NO.
CONTR.
PERMIT NO. /') d - d-I~
OWNER
COMMENTS:
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI , COMPLAINT
o WATER HOOKUP FIREPLACE RI
o SEWER HOOKUP . FIREPLACE FINAL
o PLUMBING FINAL ' jTGASLINE AIR TST F P
o MECH FINAL 0 .
.
ef~ ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~ WORK SATISFACTORY, PROCEED
( 0 'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: _~... Owner/Contr:
CALL 447.9850 lOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI