HomeMy WebLinkAboutMech Permit 02-0656
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
((; ~ S- 'OZ-
~. ~e~n ~~~. I PERMIT NO. A? --/'\,_ r::-1
3. Vellow Apphcant Vc.- -vtV..JlP
(Jlcx ) s: A
58 ('p 1 ,J-5V-f'ASf-- <.\216
&l'Vler//JIJ{eJr:;'re~PhOne) q~(J..... ~/J-o?~$
L;J, H wy/3 &rJ1~t/1 '/JP-;r JJ1jJl. ~s72
(Address) (City)' (Zip Code)
(Contact Person) kH Pifiick!jjj . (Phone) 9~f;J.-f2/J-O~~
APPLICANT SIGNATURE _~ _ ~ lItJa!J,.,f DATE :JaM (J, ,p--^-LI).::!
f/ -
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
(Please type or pnnt and SilUl at b~~;...~&)
ADDRESS
6'8 (f; ~ Is-oft s:t ~~_
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNE~ '
(Name) V'O 1f1 G I <~
. ZONING (office use)
t/ffD
PID 25 -C 7S"' ~ IJ 6' - ()
(Phone) kd - ,/C/?-6?;G~
(Address)
APPLICANT \&
(Name) (:I''''P.5,f P.
,'~ 'i?:~I')
- "-
(Address)
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL --'lea}-, '/(j. fd r
INPUT
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FLUE SIZE
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
i1J.oj ((J : :r 30 g F JtJ.uIJ)'U111ei1LJ'JLr;:e..b:/~
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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
$39.50
Estimated Cost $
Building Permit # 0 Z, -Of, 5' t,
Y1. SO
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
~,dU
(Office Use Only)
This Application Becomes Your Building Permit When Approved
rJtJ.t 1.9 ~ ~~ O~
Building Official Date
Paid
~.O'V
DateL. r-
C/ "".j - 02--
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
ReceiptNo~Z,I4-L-
I, .
By &--.
/
CITY OF PRIOR LAKE
INSPEC-nON NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE
TIME
leJ .'dJ
SCHEDULED {, - C(- .;l
8 T~ 7- I':; of7=--
CONTR.
PERMIT NO.
i5< -~s-~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
1::l.1IREPLACE RI
~ !IREPLACE FINAL
).rGASLlNE AIR TST
o
/'
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREc?!10 CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447- OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl