HomeMy WebLinkAboutMech Permit 02-1529
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~ase type or print and sign at bottom)
JDRESS
I. Pink File
2. Green City
3. Yellow Applicant
PERMIT NO.
()). -/~d-q
5965 150TH STREET S.E.
ZONING (office use)
/-2 IS 0
LEGAL DESCRIPTION (office use only)
LOTg BLOCK ADDITION @il (~ ('7," dt'f/ ~-r
i
PID;{S- {Y1c;- 00;;-'0
OWNER
(Name)
PUL TE HOMES (MARGARET BALFANZ RESIDENCE
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
11/16/02
APPLICANT PLEASE COMPLETE BELOW
D NEW CONSTRUCTION D REPLACEMENT X D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO GRAND XT AND GAS LINE
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
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # _ \ r-
$ (.~q.~L./ .
~ ~6;;~~,O~~~
Paid ( 1_ /Lf-,rReceipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine Official
Date NUV J 9 2002 By
F
I .4'1
ty/
Vi
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIORI AKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
12~(()
/.'IS-
ADDRESS
Sets
/aJ Pt Sr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
)-/S-L'1
o FOOTING
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 EX/GRAD/FILLING
~ 0 9,PMPLAINT
)i!P"fIREPLACE RI
o FIREPLACE FINAL
)iJ' GASLlNE AIR TST
o
COMMENTS:
~ 2S- ary- Cit-
'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ J L~ (0.... ()l. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$NOTI