HomeMy WebLinkAboutMechanical Permit #01-0770
CITY OF PRI()R LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT JJl 9--5
J I, - I) ~\. J JD \
!lIt L L ,-
(Please type or print and sign at bottom)
ADDRESS
Co<D:lCo ~b(); H.
1. Pink File
2. Green City
3. Yell! Applicant
w . \:::
LEGAL DESCRIPTION (office use only)
LOT I BLOCK 1 ADDITION ~ 51J'=
J
OWNER
(Name)
'~p f'fl ) ~ ~ ,1-0-- ct<n I n 1\ t-
-. J J .
(Phone) tfS().., Llq~~ Xl
(Address)
PERMIT NO.O{-770
- ZONING (office use)
P~tS p
PIDlS;-:2'1o.... OOI-(J,
APPLICAN:.P-J _ . .. A-. \ ,r ,,\ ~ q
(Name) QD{Y\X\ ^ II \) ~e 0+ I 1{) "'Y'L (Phone) 5:;).- x9Lt - ~
(Address) \94<f"\ '~cxJLsL \~~& P:u}~) S~cy- ~$SJ~
(Address) (City) (Zip Code)
~~~
l/' -
APPLICANT PLEAS~ COMPLETE BELOW
DNEW CONSTRUCTION [31{EPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
~ir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
[] Steam
[] Hot Water
1:1 Radiation
1:1 Special Devices
Cl Other Devices
FIREPLACE MAKE AND MODEL
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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ cJOOO. DO
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERlVlll FEIG
$ 30. b 0
$ .50
$ LlO.DO
(Office Use Only)
This Application Becomes Your Building Permit When Approved
. Paid ''10,OC)
Dat7_ J- 3- 0 I
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~-J4 -01
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
. ReceiLio'/ ~;)...
By ()C/
V
CITY OF PRIOR LAKE
INSPECTION NOTICE
"
SCHEDULED
ADDRESS
C ~2& #-/1/ ho" f (
OWNER
CONTR.
PHONE NO.
PERMIT NOI.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUF)
o SEWER HOOKUP
o PLUMBING FINAL
o MEC~ FIN.,
!.~//
l . t L
COMMENTS:
~
/' , I
,---
DATE TIME
q-S'-0
/,- 77 ()
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
...............
r'l -;
I / I O(~c.- /---r ~ /
~ ~l - . ~
----------
~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION EIEFORE COVERING
Inspector: Iftf1 C(~ y(/3 Owner/Con1tr:
CALL 447-9850 FOR THE NEXT INSPECTICIN 24 HOURS IN ADVANCE..
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PEJ,~ONAL HEALTH & SAFETY!