HomeMy WebLinkAboutMech Permit 02-0155
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink File
2. Green City
3. Yellow Applicant
(Please type or print and sim at bottom)
ADDRESS
/9t/st/ {)n U {J, (O/+~
(}JE.
.
LOT
LEGAL DESCRU'TlON (office use only)
PID
mart iil ~,da4
fLL/SL( [)O(;P, t+ # .llLc:: Pv/bLita~~
~;~~~ANT F:{'tJ-&J}e. ~O'l'I/I'hl'l1:!/I'I>Jf:t't'e,.\'ok (Phone) 95~- t/1/5"-B.5"03
3'i550 Lv. lllu~ 13 gurj1~/lI!Ie,P;j/J $33~
(Address) (City) , (Zip Code)
(ContactPemm) Krf P~;;!fu C; . . (Phooe) J7;'-~-~
APPLICANT SIGNATURE A__-i ~~ DATE H~, I~J 0:2
(/
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL E.it 2.S ultJ
OWNER
(Name)
(Address)
(Address)
FLUE SIZE
BLOCK
ADDITION
(Phone) 9S!1- C/t/.rJ-&'5:"O.3
INPUT
HEATINGORPO~RPLANT
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Co"'H(}r~J;J~ 'SA --$lJ 7/JS-I] 4i~uf'JM'f 1111,
1/ ~
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
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
$39.50
$39.50
Estimated Cost $
Residential, Additions & Alterations
Residential, AC Only
Building Permit # 02 - 0/.55"
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ .39.!5V
$ .50
$ ~.OO
s Your Building Permit When Approved
Z-/q'02-
~ai~.O()
Datz_/q'02-
Receipt NO/1/ Z32-
BiC
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
....
ADDRESS
/'1 tfS 4.
SCHEDULED ~ 2-
~CI-,
9;30
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJ? -01 5S"
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADfFILLING
o COMPLAINT
~ FIREPLACE RI
o FIREPLACE FINAL
Jl GAS LINE AIR TST
o F; P.
COMMENTS:0 ''''J~~~ ~ ~ -.a trJ v:-~ p,
VJj r-=~ ~ c..*- ~"-J ~-
~.' /~~~J
~ [,.r 0(
l~
~
.....
/~,
I ~~~~ o.:f-
t I I l~"
C:-/2 ~I
~~'4
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'ospedO" ~. Owoe,lCoot<
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
3-i:,-O.;L '-/;1)6
Dove c} .
CITY OF PRIOR LAKE
INSPECTION NO'tICE
SCHEDULED
ADDRESS
1L/1/51
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
O;)-IS~
o EX/GRAD/FILLING
o COMPLAINT
~~IREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ l . Owner/Contr:
CALL 447-98~: ;JR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl