HomeMy WebLinkAboutMechanical Permit #01-1230
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE P~RMIT
f1~I?W/D /-/(J]
Date Rec'd
/0-3/-0/
1. Pink
2. Green
3. Yellow
File
City
Applicant
PERMIT NO.OI ~ /23 (
(Please type or print and siKIl at bottom)
ADDRESS
574-7
CfUSS~NO~
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2.5- 2..'19-0' 0-0
OWNER
(Name)
(Phone)
(Address)
APPLICANT ..
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(Address)
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(Phone)
(Address)
(City)
(Zip Code)
(Contact Person) .-.-,
N.ATU1U!~ _A~
(Phone)
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
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
$64.50
$39.50
Estimated Cost $
Residential, Additions & Alterations
Residential, AC Only
Building Permit # 0 ( -( z, 1 ()
$39.50
$39.50
Residential, Heating &A/C (New Construction)
Residential, Heating Only (New Construction)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\'JJ J FEE
$ 39.bO
$ ,-50
$ ~r(}V
(Office Use Only)
This A~r Building pe;~t ~;etn ~PJOVed
Building Official Date
~
Paid 40. ffU
Dati ~ -31 -' d I
ReceiPt~77 :1
BY~
/'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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ADDRESS
5'/0/"/
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OWNER
L-. L, 01 -I ( 3 '3
CONTR.
PHONE NO.
PERMIT NO. J:::P, lJ, - I z..3~
o FOOTING
o FOUNDATION
o FRAMING ~
o INSULATION
FINAL
~ SITE INSPE ION
COMMENTS: La, L,
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP @D FJREPLACERI
o SEWER HOOKUP FIREPLACE FINAL
o PLUMBING FINAL ~ GASLlNE AIR TST
o MECH FINAL 0
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)a:1NORK SATISFACTORY, PROCEED
(0 CORRECT ACTION AND PROCEED
o CORRECT WORK, CAll FOR REINSPECTION BEFORE COVERING
Inspeelor: ~ Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSlVOTl
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