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HomeMy WebLinkAboutMechanical Permit #03-1437 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 10. Z 7. gJ 1. Pink 2. Green 3. Yellow ~!:y I PERMIT NO. O.5-/A.2"7 I Apphcant -r """ I ZONING (office use) Av~ ~ t LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID 25./z4-. O~. 0 OWNER (Name) (Address) \\ ~ \..." c, \.. \ \-~;., 1 '-'-\- '<\ V Q.. (Phone) ~) ~- ~~ \- ,~~ a APPLICANT l'v\ _ ~ - (Name) \ \Jl \').--'V \'"\ ) \..-' \ l\ L (Address) \ ~ C\ <g 0 \r-J '- \ l U {hJv (.\ ~ (Address) (Contact Person) N<.\V"\ (Phone) ~ ~ ~- \.{ \..\ .., -&' I ~ '-\ ~ r\~y' ~~\~ (\\N SS:S,:) (City) (Zip Code) (~. )." -., - ? (Phone)' , ~ \ 0- ~,-3 DATE APPLICANT SIGNATURE APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA TIONS FURNACEMAKEANDMODEL ("'-r\...._ ~"'f>' \00- \ ~ FUEL Nu-\-' FLUE SIZE .~ V L RETURN OPENINGS INPUT (p,'). ~ OUTPUT S' \'. .JOO TYPE OF SYSTEM OWarm Air Plants o Gravity o Mechanical OAir Conditioning OVent. System HEATINGORPO~RPLANT o Steam o Hot Water o Radiation \ ~ ~ 0 Special Devices <'\ t> \ ~ ~ \. ~ 0 Other Devices ~.r",,",l\. PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks 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 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Permit # Q.J - /4.37 $ ~ ~ !O $ .50 $ '--\ () CD.-/ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE lice Use Only) This Application Becomes Your Building Permit When Approved Building Official Date Paid 4-0, 0 () Dio. z..~. 0 J Receipt No, efS9'2.3 By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 0" TE TIME \1-.(5'1 d'.:J t I ~ ADDRESS tt.t31)() ~~1 ~~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL f1 MECH FINAL ~ COMMENTS: 3-/t{3, o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~~ ~~fs-~~r~~ ~ .- ~-- -D~::'r;-7------=----- ~- "Permit. . :=~ M~EIR '" "Teste..-/Signature ~ ~ - ' / "Gas Une Pressurized Inspected . Percent C02 ,0 )'ORK SATISFACTORY, PROCEED (pf CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REIN~ ~ .Percent 02 Final Inspection Q!!! TIm! Pounds Pressure \= 0% "Percent CO 1 .Stack Temp. (01 CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. Date Inspector: '.-' Owner/Contr: INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ~ j