HomeMy WebLinkAboutMech Permit 02-1009
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
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ADDRESS 11_~~~ J r
.~A ~~au(,1
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
Date Rec'd
8-/1'02-
;:~ ~~~. I PERMIT NOtJ 2- - / 000
3 . Yellow Apphcant I
~~e~R ,s-re,V~ -1-0 -'loJ? i V-eG-p~~d
(Address) J 411l#~ {ij1 J1da !)e ~
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APPLICANT .A ' ~ J A {I
(Name) ......t1 ~~e)2
(Address) ~ ~y;D tAL \'-1 ~/3 ,
, J: (Address) I
(Contact pe~on) tci -l- '
ZONING (office use)
PID
(Phone) Cl9;} .. 4- Y:iJ.:.2!3i ~
(Phone)~7j11?<1
BVLIJ~ vLlJR-./ i /'() /'rJA -C:;j 33> 7
(City) (Zip Code}
(Phone) OJ 02 -<JOg-~07~
DATE Y.-'~ ~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
APPLICANT SIGNA
,..
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
o Gravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
, OVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL lflA.)--l1-do .f{f- ~_R ~
UFEE SCHEDULE
Industrial, Commercial & Multi-Family
1 % of job cost
$39.50 minimum
$99.50
$64.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
JZjJA!1-- t3 -/ tj-()L
Building Official Date
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
Building Permit #
oz--/(Jo1
$
$
$
~g, 6Q
4.; .50
· Or)
Paid 40. 0 0
Date
~ /I'I,C) z..,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
~
Receipt No.
4-2-752-
BY~
/
DATE TIME
CITY OF PRIOR LAKE ~-J.B"Or-IIJ;3 ()
INSPECTION NOTICE SCHEDULED
ADDRESS JL/ 002 ~~
OWNER CONTR.
PHONE NO. PERMIT NO. ;?- /fJO 9
o FOOTING o PLUMBING RI o EXIGRADlFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP 6t ~FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~"
\
l~
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
/NSNOTl
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