HomeMy WebLinkAboutMech Permit 02-1551
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
). Pink File
2. Green City
3. Yellow Applicant
(Please type or print and si2ll at bottom)
ADDRESS
w~+e..-v- -S~~
\ at ttt 5
11\.12-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER, ... 0 ,.-
(Name) _ _)-€/V\ Y\ ( s 'Z. .~n
(Address) I Y-4t5 \A..) -l\+-e.-v-s~Q~ (r--L..
APPLICANT n. ~ ' ( ~Lf ~_
(Name) CVVV (\~ t> \ I -e... '\"l i J'
(Address) [ ~ lf~ I ~had-~ ~ -L~tcLroL
Date Rec'd
/
PERMIT NO~ /55/
(NING (office use)
/'
PID
(Phone) 9 s ~ cr IfLf 'S f 5 I
(Phone)
. A: u-c.- 8 cl
(City) (Zip Code)
(Phone) ~s-~ ~ 'f. -000.5
DATE l ~ '- ~ ... (j ~
(Address)
(Contact Fcrson) t-.i ",NC-l 1<...., r.N
APPLICANT SIGNATURE U ~Q.N'\
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APPLICANT PLEA~E COMPLETE BELOW
DNEW CONSTRUCTION )ZfREPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL . FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
o Mechanical
2Air Conditioning
.. ~Vent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
$ c~q/ s-6
$ _' .50
$ If 0 · "-0
Paid Lib , era
Date/J ~ fl~{)cJ-
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
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
ReceiP~~ K'?
BY~
{J
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
Il-/~
ADDRESS
/44/S' lV~ e~0(
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t9.J ...~
(\2. - I ~.s-I
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 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
Wt1W ~ I A-l (;~;~
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COMMENTS:
/ l
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:.-
it'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: lIJ;r?, L-/f5'''6J.;;:er/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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