HomeMy WebLinkAboutMech Permit 02-0971
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvDe or orint and sign at bu .."~)
ADDRESS
CoO/3rh I5Of~ Sf",
i Ef:w El~icant I PERMIT NO(?;)_ Cf 7/ I
ZONING (office use)
Se-: ~/5D
LEGAL DESCR.1.t'nON (office use only)
LOT L/ BLOCK ADDITION
PIDd 5 - /1'7'" (JOS-t..')
OWNER
(Name)
(lha1l II1lA r /?; h ~
fn () :3 0 /5n I-A 'f_ S:c~
(Phone) 95:1-L!,!7 - 3831
(Address)
APPLICANT I , _A /f) / /J /J rI' cJf>-
(Name) Eiu.s I (}l~ C~Y'Vl()rl/1/J{P~lJ.. ,...,-re~J (Phone) ~~,... ~-('J )s8
(Address)S8'$1J ljJ,-//fnl'l /3 .&nAsv/lle/)11/l.lc e;-~3'3?
(Address) ~ (City) (Zip Code)
(Contact Person) !<r'f ~:~~(' (Phone) Oe;~(7-0/..~
APPLICANT SIGNATURE :A \ - 'YoIrJ::J tl.l DATE _7) WJ ~ ?-th--t-())J
V v
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~ AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATINGORPO~RPLANT
OUTPUT
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
39-S-0
.50
qO~----
(Office Use Only)
Building Official
Date
Paid L/tJ" ~
Dat~... i- () a-
ReceiPil~ 1/3
By (
~
(J
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF"PRIOR LAKE
IN.SPECTION NOTICE
.
~ TIME
SCHEDULED 9 - -;J- 1~5'
ADDRESS
;"tJ~h
1~1?- ;;-f-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
62 -9/ I
o FOOTltIIG
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 EXIGRAD/FILLING
o COMPLAINT
~IREPLACE RI
o FIREPLACE FINAL
{"GAS~IR TST
COMMENTS:
./
~RK SA
o CORRE AC
RY,PROCEED
AND PROCEED
CALL FOR REINSPECTION BEFORE COVERING
Inspecto: . Owner/Contr:
" FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI