HomeMy WebLinkAboutMech Permit 02-1464
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/(-(P-tJZ-
~. F.~:w El~icant I PERMIT NO.O 2-/4 (p 4
(Please tvDe or print and si2ll at bottom)
ADDRESS
l1o~ Iq)/h 5Ir(lj~
..
SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
~':e~R CauL \ltf~
(Address) (;0 ~ I tJD/..h .c;,}-. ~..
. - .
. ZONING (office use)
PID 25- .f n ' DOS - Q
(Phone)Cf32- 44-1"3~?(
APPLICANT-c.' 'd (I", (JOt rJ
(Name) f J Y e...~l -e..- UJYY\(r (Phone) C\0:z - l) - 10 - 01 ':::>~
(AddreSs)~ W' ~M\J \3 ~LrYLS:N~\\L S0??1
\ ""(Address) (City) (Zip Code)
(Contactpen;on) ~ qy ~ (Phone) ~
APPLICANT SIGNATURE .m.,:, - - DATE -./0/31 k..,-
-( APPLICA~T PLEA~COMPLETE BELgM'
DNEW CONSTRUCTION 0 REPLACEMENT ~AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR PO~R PLANT
OWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL ~.rn..c::... -Xt (~-"'.~~~
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AIC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
Estimated Cost $
Building Permit # 0 2--- /4~4--
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~.SV
.50
4f).00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Y2nAl- 11- (p ~ 0 2-
Paid..L )'
,e.LV
Date
{/.(p.cZ-
Building Official
Date
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 ~o4J' ZJ9
By ft- I
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/(-/2-
4.'u;;
ADDRESS
G03?
/ (:0 1'--- S~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'}..-/4C (/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP ~ FIREPLACE RI
o SEWER HOOKUP ,/ FIREPLACE FINAL
o PLUMBING FINAL GASLlNE AIR TST
o MECH FINAL 0
COMMENTS:
1k'J-S-- at~ eYL-
f
/ / /"k
{ .-J Ud"
q"1' J
/----/ U
I
/ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~ ~~~ALL FOR ~EINSPECTION BEFORE COVERING
Inspector: J!...!!!' 11-( J..- cfl-owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl