HomeMy WebLinkAboutMechanical Permit #01-1375
3
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONINGIFIREpLA(;E PERMIT
(Please type or Print and si2l1 at bottom)
ADDRESS .
J lo a(pq frGJI\\r\ \1 ~ l rc \e>
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(~lffirCl er~
)C(Y~fDq %(lllYJI\-A U\JeJ.
(Address)
Wohlers Southside Htg. & Air., Inc.
6950 W. 146th St., #106
Apple Valley, MN 55124
(952) 431-7099
(Contact Person) [:)~:~.r""\ It n\l '-er,~
APPLICANT SIGNATURE (J().;~~././J. ~L~
APPLICANT
(Name)
(Address)
Date Rec' (
j2-l() -0 I
~.~::n ~:~y PERMIT NO. 0/-[2 7' C-
) Yellow Applicant ...;> ..::;;
ZONING (office use)
PID ?t:) - 157- OD5-0
(Phone) q~.- ~LlD-Q~g'7
(Phone)
(City) (Zip Code)
(Phone) q~d-L\2>\- 700.4
DATE \'L~.O{
APPLICANT PLE~E COMPLETE BELOW
ONEW CONSTRUCTION ~REPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMODEL tcnn,orU. ~lTG lo lOa FUEL NQ1LLrCL.L
FLUE SIZE RETURN OPENINGS INPUT \ CX1 (Y'f) OUTPUT l::C.y (DC)
TYPE OF SYSTEM HEATING OR POWER PLANT
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum /-
$99.50
$64.50
[3'Warm Air Plants
i OGravity
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
/,'
Industrial. Commercial & Multi-Family
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
Residential, Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
$39~
$39.50
Estimated Cost $ ~8E:O ( --
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERL\1IT FEE
Building Pennit "#
(Offic~ lIse Only)
This APpli~"r\~"o~s Your Building Permit When Approved
1tA./f:r 2- O~O
Building Official Date.
$
$
$
2>q.eD
.50
LiD. CO
paid40,OO
Dai~ - I 0 - 0 I
Receipt l')O....Q8/
/J,. q-o It?
B~
DATE TIME
CITY OF PRIOR LAKE J-C-~J
INSPECTION NOTICE SCHEDULED
ADDRESS 1&U q Fra'iilLJ t-., Cr-
OWNER CONTR.
PHONE NO. PERMIT NO. 0/- /3"15'
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: F(/1r JI\ a t-<-.
~.
/. '".. ......~ '?-rk-
~-
Ilf"WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
v1N7 3-1 -0>
Inspector: f VI ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I1ISNOn
A
-
JobAddress /~2'~I-~AkRt~
Heating Contractor t&)~
Name of Tester C .5
Date d/hOc;/
Percent 0 7
Percent cO2 (;
Percent CO 0
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