HomeMy WebLinkAboutMech Permit 02-0204
CITY OF PRIOR LAKE
nEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date R:
----.....,.,,-
~. ~:~n ~:~. I PERMIT NO. /1")_ ()I") r\J I
3. Yellow Apphcant VO'- ~
(Please type or print and si~ at bottom)
ADDRESS
5~ 0 tf 0 () e. r ~ " fJ (4- L () 11 tJ S, 2.
. ~
ZONING (office use)
Rl
LEGAL DESCRlt' lION (office use only)
LOT.2.0BLOCK J ADDITION 1lw.J~({J d.. ~d
(f
&~e~R (k1bt'p ~J{'Yl
5';)[)cf Of) /J r P-,' p-l(l laiJ p
~;~~~AN~~.tt~ tJ~. f AJffl Ql{' !4J1j,o,1 nff35 IrP~ (Phone) Qt;(l-;rt;o-r;?~8
(Address) SX'" <'0 /)J. Ii (Ai.!J / ~ f3.ur.yt \ till! ~ JJI tJ ~"3 37
((Address) (City) (Zip Code)
(Contact Person) ~j{/f f2n1'2eJr 1I'1fi (Phone) Ot;_:;-~q(J-(V?~~
APPLICANT SIGNATURE lJCl^I-<~f' %{ cr.J ()q DATE march It/A J?:z
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 REPLACEMENT 0 AL TE~TIO S
FURNACE MAKE AND MODEL L /l/ r;
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
PIDr:-75- d JeJ.- t);1O-()
(Address)
(Phone) 95/) -[1 qs:- Jf(!O 5
~ \'<C'
TYPE OF SYSTEM
OWann Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
FIREPLACE MAKE AND MODEL
o Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation Cannot Encroach into
o Special Devices Required Side Yard
o Other Devices Setbacks
)..J.-('7{)t -r-J1)-{f-/O t110c!tJ/: S'J.. 15071<. d/V'ect VfJ//I-r.
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
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
0q..@
.50
40,00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
pa~ Lf(J lOb
Date
.?a -lo-O~
Receipt No.
4/;r71
By flU
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
-~-';.:~~::_.-
ADDRESS
-5;2{)Y
DATE TIME
SCHEDULED Zl!' !6.'L I/,'~
A~~
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
PERMIT NO.
tn... - Z, () ..,
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP )If FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL ~ ,,-.r, F.P.
COMMENTS:~ ~ ~-4.& J
~ ~~ o.~~' .
~~ #..v- ~
'"
~Ix
~~
I . ( 1
/212-, .dL<-, .
J...v/
o WORK SATISFACTORY, PROCEED
lw CORRECT ACTION AND PROCEED
b CORRECT W~K' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-98 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
If'/Sf'/OTl