HomeMy WebLinkAboutMechanical Permit #01-1330
CITY OF PRIOR LAKE
HEA TING/ AIR .cONDITIONING/FIREPLACE PERMIT
Date Rec'd
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I, Pink File
2, Green City
3, Yellow Applicant
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PERMIT NO.O I ~ ()
Z~G (office use)
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(Please type or print and si~ at bottom)
ADDRESS /J
/5C2 / 0 (/d (j/rJ Y'(Y- ictk e Pd.
LEGAL DESCRIPTION (office use only)
PIDZ.~-003-~
g.=e~R!l1arJ< jJ1 fJJ1ij ~ (Phone) fl5J -1!lY-(]~
(Address) 1s-!lU)!Io {(/cJJI'J~ak fJ /l ()()fl Sj,aYrt(lfJ,j11!l1-GS~'9'
~;;~~ANTr:-;~,tJ~ fnf'f1ef'jA/kll hf&. i~rlOne) ~ -1.f2jJ-/Jtj?~
(Address) 3()'S'C) lV. !fULU 1_< /Jt4f'/lSt/i-/le.. fhf1~ 5S33/
(Address) V I (City).JLL-1I-Y j (Zip Code)
(Contact Person) ,JI. ' ~ er ''" (phone) 9_~!J. -R 9'/1 -z:j 7-.511
APPLICANT SIGNATURE ( ~' DATE J( J~(;,li1/
LOT
BLOCK
ADDITION
APPLI ANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL / FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
HEATINGORPO~RPLANT
D Steam PLEASE NOTE:
D Hot Water Air Conditioner Units
D Radiation Cannot Encroach into
D Special Devices Required Side Yard
D Other Devices _ Setbacks
tLP q') - /1).--( In /lt1oJd; S A5S0 lRil/.
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\'lll FEE
Building Permit # 0 I ' I:J "3 0
$ $r- >D
$ JO
$ Lft>. (j
Paid 4-0.00
Date I ? I
, I -vW-O
Rece~~94-~
By r'--
Estimated Cost $
(Office Use Only)
This APPlic~ur Building Piri~~h~pprOVed
Building Official Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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CITY OF PRIOR LAKE
INSPECTION NOTICE
._ fATf TIME
SCHEDUl{:D 1~1~ ~~o-l>
I+OL()anl ~t!.e-1<d_-
ADDRESS 15~/O
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- J~~O
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
o MECH FINAL
o EX/GRAD/FILLING
AJJ j:OMPLAINT
1'1 }if FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~~ WO~KrCALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ ~V~ Owner/Contr:
CALL 447-9850 FO~THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI