HomeMy WebLinkAboutMechanical Permit #01-1174
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CIT~"OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~:w ~l~icant . PERMIT NOO /-i~l71
(Please type or print and sign at bottom)
ADDRESS
Ilfft;qtp T31uGDJ~ct"IY<-
ZO~G (office use)
1(/5/J
LEGAL DESCRIPTION (office use only)
LOT I BLOCK -.3 ADDITION ((J/lJ b ~ PID;;25-.?1lo- oJ{-Z'f
I _ / f
~W::e~R-TJ1fA~ cJ..-\.fllli1Uc. J-k f J lnafL (p~2-tR~3 ~-311J--
(Address) !L/{pqr.r Blw tu'''d --rrL
^;.;;~;ANW1ad 4~ df-8/n: dt/-iJ.i~/;~Je N.Kqq Z - 8crtJ-(jJt;6-
(Address) ~v;O N ~ ttN" /3 - ~Svi Jll. flJ tJ f?S3~7
(Adcfress) r2 (City) (Zip cafe)
(Contact Person) f'he.lt.:S5vG r /(PhOne) QQ7-1:0/.. ..)-D7f/
APPLICANTSIGNATuJ .JtA.RJ.6<< W,./.... DATE ~- /? -~ I
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APPLICANT PLEASE COMPLETE Bt:LQW
DNEW CONSTRUCTION D REPLACEMENT ~TERA TIONS i
FURNACE MAKE AND MODEL FUEL '1J
FLUE SIZE RETURN OPENINGS INPUT OUTPU
TYPE OF SYSTEM
HEATINGORPO~RPLANT
D Steam
o Hot Water
D Radiation
o Special Devices
D Other Devices
q~(p ^-A-
DWarm Air Plants
o Gravity
D Mechanical
DAir Conditioning
DVent. System
~7-" ~ ( 1}T
I
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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~Cf.q 0
I .50
JfLJ ,00
t
Paid 1J; /If) I dU
D . .
atio.r /<i-(};
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Recet!D~~4
By - W
u
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
!-7'0/
ADDRESS . / 4fs, ?tP
PHONE NO.
8L U6/3/,eo
~ -- ~.....-
~ .--.-
CONTR..
Ft'" r ,Of..... Il 7 &of
PERMIT N~ I
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~PLUMBING RI
MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
trLtv~. P XX
_ ~ \ ( )( ,,' /\ v\
~~ 1-'*'~'flJit:. , ( "
(11 \ 0 r'\.. VV D\
I ) \V
\.../ \~
~ WORK SATISFACTORY, PROCEED
r;; CORRECT ACTION AND PROCEED
o CORRECT W~' CALL FOR REINSPECTION BEFORE COVERING
.
Inspector: I Owner/Contr:
CALL 447-985 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
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