HomeMy WebLinkAboutMech Permit 02-0130
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
?'-f; ,02.:-
~. ~:w ~i~icanl I PERMIT NO, 02- 0/30 I
ZONING (office use)
/so.g srf)Ei:T
~ LAKE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZS
OWNER
(Name)~.u
u ,C"r'fl;~
(' 5AMt: ')
1..36:2-..
(Phone) ~-J/1/7- 2:1$
(Address)
APPLICANT
(Name) RnL..'~
(Address) 571t)
U E:rrcf..
ISJI-l 5i"REEI
(Address)
(Phone) e:;~~ . ~f7- ~'/~2...
,R..0t< LAJ::JE 5'5372..
(City) (Zip Code)
(Contact Person)
(Phone)
DATE
APPLICANT SIGNATURE
ICANT PLEASE COMPLETE BELOW
JaNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL tJi'J) : ..~ . .et:D ~ $' .fJO ,.t:.~ FUEL ~ G;AS
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATINGORPO~RPLANT
DWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL lIetf,-AJ - bl..{) S'- -55D'Tf<S
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % 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 # 0 2-- 0/30
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
39,~
4tJ;vJO
(Office Use Only)
Date
s Your Building Permit When Approved
~ --~--Ol.---
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~TY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
~-I;1.~O~ 1,,,00 ~
ADDRESS 57!3D ISoth ~f:
OWNER CONTR.
PHONE NO.
PERMIT NO.
t>;J.-OI30
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 EX/GRAD/FILLING
o COMPLAINT
^ ...D FIREPLACE RI
t1"'" Jlf' FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
eJ<9se- ~,\e..-
~RK SATISFACTORY, PROCEED
o CORRECT ACTIO AND PROCEED
o CORRECT ALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR TH NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'NSNor,