HomeMy WebLinkAboutMech Permit 02-1575
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CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvDe or orint and sign at bottom)
ADDRESS
S~~5 - \L\D-tt'\ St-. NS
1. Pink File PERMIT NO f
2, Green City . /1."... !'J::1
3, Yellow Applicanl (.../ "'" :.J
ZONING (office use)
7<J
LEGAL DESCRIPTION (office use only)
LOT Lf BLOCK ADDITION
PID P 1)'-0 &0- ()CXj"/ ')
OWNER. . . Cttt.r\ '. rl\4f~ J:J ' ~
(Name) P-t=\c.:cCt.--t"\6l\ ~ ?:.J I I..dt- (Phone) ~'j~d~aJBB
(Address0:::,\O ~\Q2e.l j . Y v--x::L lLl~'J ~~7 rrtr-LJ,9 i'lIr-J S"S~q I
APPLICANT '.
(Name)~d\\ff~ ~_.t:::\-hC-...\r\F) ~.
(Address)loq~ It). \LL ~ (..--..\ . ::t:t=-1Cl.D
(Address) - I
(Phone) Q.~ - 4~\ -, ('RQ
~~ ~o.\ \~ rnJ ~\a4
(City) 0 (Zip Code)
q~- Lib\ - -,oqq
1;;>-d-6?-
(Contact Person) 1:::x:l.r-\ L...2Ch e.rS (Phone)
APPLICANT SIGNATURE J.06...r\~R ~ DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION
FURNACE MAKE AND MODELQ rl'Cl....rY', J "
J Il
FLUE SIZE t.c> RETURN OPENINGS
TYPE OF SYSTEM
~ REPLACEMENT D AL TERA TIONS
~'--_L.I-C.. oq 0 FUEL ~c.r-turo.J
INPUT C4 O,,;;;Oc..D OUTPUTI d~ CJ.::::j:::)
REA TING OR POWER PLANT
OWarm Air Plants
OGravity
fl;)..Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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
Itesidential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
\locoCP
I
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
3q. '00
.50
40.CJ:.)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
pai~ ijtP,---
Dat1,;t -10-0 y
Rec~;q95
By ~
j
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIGR LAKE
INSPECTION NOTICE
ADDRESS
D'J'S
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
('~')
DATE TIME
SCHEDULED
c !'L/ (;)5
Zl~
j tff9 y-k ~
CONTR.
PERMIT NO.
(92--t57~{'"
o PLUMBING RI 0 EXIGRADlFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER KUP 0 FIREPLACE FINAL
J. 0 PLUM G FINAL 0 GASLINE AIR TST
R YME INAL 0
~H~ ~~~
,
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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