HomeMy WebLinkAboutMechanical 03-0913
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Iffi'QUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNERS/03
(Ple;3sf type or print and siltIl at bottom:
Ar;rQRESS
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LEGAL DESCRIPTION (office use only)
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ADDITION '\'
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(A~d{ess) \ l.o \ ~ ~ t\ c., ;,
Date Rec'd
I. Pink
2. Gleen
J. Yellow
~:;Y, I PERMIT NO. 03 - /) I ~I
Apphe.nt Lf ~
ZONING (office use)
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(Address)
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AP.PpCANT SIGNATURE --^f\r.:A;\A-,-1 L~' ~,lv.
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(City) (Zip Code)
(Phone) <=) ~~- "\~ -,. ~ \ Q\.-\
DATE
AI)PLICANT PLEASE COMPLETE BELOW
~REPLACEMENT
M?\. r"I-- Co 0 -I ~
~ INPUT
o Steam
o I-lot Water
REQUEST F~rliation "_
INSPECTIO~R FINAL
lIOA1EOWlV SENT TO
ER 11103
ONEW CONSTRUCTION
FUf-liACE MAKE AND MODEL C l,......-. ,'\.---
FLV~ SIZE RETURN OPENINGS
TYPE OF SYSTEM
, MWarm Air Plants
(Obravity
o Mechanical
laAir Conditioning
<~Vent. System
FI~EI:LACE MAKE AND MODEL
Indllstlial. Commercial & Multi-Family 1% of job cost
$39.50 minimum
Re~ldejltial, Heating & AlC (New Construction) $99,50
Re~id~rtial, Heating Only (New Construction) $64,50
Estimated Cost $ .., ()\:) C') 'J;.-..
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(OI!ict list Only)
1~ Application 8ecomes Your 8uilding Permit When Approved
Building Omclal
Date
24 hour notice for nil inspections (952) 447-9850, fllx (952) 447-4245
o ALTERA TlOW~
FUEL I V c\-t
OUTPUT
HEATING OR POWER PLANT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
ace
$39,50
Residential, Additions & Altcrations
Residential, AC Only
$39,50
$39,50
Building Permit #
$ ~ '1 ~C)
$ \, .50
$ '\cJ ~
Paid {/C;,-
Date I 3
j- 0-
Receipt tt:/q t S 3
B~
-
,.
DATE TIME
'.
ej' CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
jlAL!,(};
51"
ADDRESS
OWNER
47;70 aluh
CONTR.
PHONE NO.
-:<-q/~
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRADtFlLLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
Fv~4?t- Ilk
COMMENTS:
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------.-.-.'- -.-- -,- -,-......- ----
.Permit... .
.~ Addr_..!t:.<- J/l ~ k
.Healing ConncIoI Me .'nO AIR
.resletllSign8ture 4'~
JllWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~OJlR~ ~L FOR REINI
Inspector: JI Vr
Q!!!
!l!!!!
Pounds
Pr.....,..
.Ga line
I'fftMKiDd
1m.., .,.,
~ALL 447-9850 FOR THE NEXT
PERFORMANCE TEST
.Pe,c:ent co, ~ .Perc:ent co ,IJ
.P.rcenl 0, /1 Cl .Slack Temp, ..LfIJ
~,
CODE REQUIREMENTS ARE FOR Finallmpeetion
Dale