HomeMy WebLinkAboutMechanical 03-00287
CITY OF PRIQR LAKE :-~) ~ (0 ~ tnW I.~'
HEATING/AIR CONDITIONING/FIREPLACE PERM]~
, , MAR 1 7 2003
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(Please type or print and si~ at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
O~ER .
(Name) EX::'L~ C d)\,\ e.y'
(Addres0~/lt ~'lCG~t:re-J " ~)
APPLICANT .' \
(Name) T"l"ln l, \'*"\~ I.~:::[irtt-c~\de.) \ ~.
(Address) Coq~.,.,{\ U. ILj~--:th~. -# lCLp
(Address) 1
(Contact Person)T:X).1\ ~\e.r-J
APPLICANT SIGNATURpjo,n~ ~
l. Pink
2. Green
3. Yellow
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File I PERMi.t.~. :- !J ..."ldf
~~~icant ' . 'V~ -rJ l"V IT
,
ZONING (office use)
PID
(Phone)C6;l. - L1 Yl - ~ '1.;;:}.S
(Phone) Q92.-'-I2>\ -70QQ
Q T1'\ P J \\6 \ \ -6.-\ ~ 'l.-:b I dL.J
(City) - ~ (Zip Code)
(Phone) qSL-Ll~\- '7~C-(
DATE3- \u(';~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA TIONS
FURNACEMAKEANDMODE~ Ii III '. Uf;-P\<.,.O, FUEL -NciLlro...l
FLUE SIZE hi \ RETURN OPENINGS ' INPUrl~ ...~ OUTPUT
I
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
~echanical
~r Conditioning
C.tJ,C~ DVent. System
f~~~"'~n MAKE AND MODEL Y1LLltd :
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
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PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost ResideIItial, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
3=). q)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
TIce Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
I~ ,,)
$39.50
$39.50
$39.50
Building Permit # as -0 Z B 1
$ ~. 'Ju
$ .50
$ u()LX...)
Paid _ /7J
cro, (/(/
Da~ ~/l,tJJ
Receipt No. A_
+- 3cl.5-,
By .J.,
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~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
DATE TIME
\...-< CITY OF PRIOR LAKE .s-1 ~
INSPECTION NOTICE S,.CHEDUlIfD
ADDRESS -S27C 5'y/_alM~
OWNER CONTR.
PHONE NO. PERMIT NO. { - 2-Y7
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: A-C/ ~t./Vl1Ci/ ,
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if WORK SATISFACTORY, PROCEED
)If' CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: N J or J,L ~ Owner/Contr:
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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INSNOTJ
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Job AddressJ17" .fjyAIrl,oN'-(; :rJl M-
Heating Contractor Ul,~
Name of Tester L )
Date /11P/ I (J /~ )
Percent 0 '1 /
Percent CO2 9, Z
Percent co tJ
Stack Temp. }3z
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