HomeMy WebLinkAboutMech Permit 02-1230
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING! ~ lKEPLACE PERMIT
(Please type or print and silm at bottom)
ADDRESS 333 I VtrLb (!4~
LEGAL DESCRlt'nON (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
(Addres&
~ ~
~PPLIC~\{ r
'~amel d-h:t.Je~)~ ~I J(yt/i"f.e/
(Address) 1'7?7 ~~~ st.
(Address)
(Contact Person) -:1 gel K.
APPLICANT SIGNATURE ~~ ~
I. Pink File
2. Green City
3 . Yellow Applicant
(Phone)
Date Rec'd
10 z.-02-
PERMITNO.dZ~
TG(-=J
PID Z5 - III. () If - 0
(Phone) q S-,;J - o/y;J - d' i-'.e>
McPv.f-. ~S- :79 "7
(City) (Zip Code) -
(Phone) ~/;> - c:? 70 - oO?~6
/cJ - ,5) "O~
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
~~~ANDMODEL
~, '
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
AIle r't!!~./..t:... ~.'/;c-Pv J'Q)h/::-~
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This APPlic.t~mes Y oor BoUding Permit When Approved
.t.~ om~~1 10 .~.~ 0 z..-
Building Penn it # d z.. ., I Z, :3 ()
$ 39: sO
$ _ --...50
$ ~();'OV
Paid 4{) .UV
Date
IO'~'OZ-
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
Recei~~.ot 3
By v
~-"
G
DATE nME
CITY OF PRIOR LAKE .. IO~J /0: Jc.l
INSPECTION NOTICE SCHEDULED
ADDRESS 3J3/ {/a~ C ,,,.-
OWNER CONTR.
PHONE NO. PERMIT NO. :J-- /).10
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP ~FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL ~'RTST
o SITE INSPECTION o MECH FINAL If;. +-:=~T
COMMENTS:
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: yl;f I Q- >...0 2-OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!