HomeMy WebLinkAboutMechanical Permit #01-1398
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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I. Pink File
2. Green City
3 . Yellow Applicant
(Please type or print and si~ at bottom)
ADDRESS
/'-1 ] 38 Do tie
cr.
jJ/, 13,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
Ko e s/-e,r
D"v~ Gt.
~ e.
J ~ ....,./ -e
(Phone)
(Address)
/1 33 ~
APPLICANT /1, /
(Name) LA.. ~-e v' //-fP Vf7.e.. +~~~ I A-/'r
J .
(Address) 7/ S-I L '-'y\ ~ v, ~ "'"'" t..,., .
, '1Address)
(Contact Person) ().;1/ /1
APPLICANT SIGNA;URE U ~
Date Rec'd
12-/3~O/
PERMIT NO. 01-/39/1
,-
ZONING (office use)
PID 25-:Jh8- CtJ7-0
ff;) - ~1S-- ~'113
(Phone) f< J.. - ~J.f~ - '/"3 c3. i"
j:;.t6r til{/.~ ~~ ~7).
(City) (Zip Code)
(Phone) 1~ ..:z-- '11~ - '1 3.J. ~
/J -1,]- a I
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL At'} l\~ <. CJ-I t> f ')\;,/ ~ , FUEL AI~ (-
FLUE SIZE 5 II RETURN OPENINGS n;rPUT 1~ 0 tJ 0 OUTPUT
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Pennit # --.fJI- /3 'If!J
,
$ 3q. .f:, U
$ .50
$ ~UlJ
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi~Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIt. FEE
(Office Use Only)
This APPI~ our Buildiug i~:i ;~~ ;pproved
Building Official Date
Paid A /',
~~ )..UU
Da[?-1s-0 I
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
Recepl,p:Ja.tl9 ~
By
...........
.cay Ofi PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
14- 33.8 DO\/ G cT.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION~ 0 MECHRI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
!( FINAL 0 PLUMBING FINAL
o SITE INSPEC ION 0 MECH FINAL
COMMENTS: 7IMb~.
L
~
t
7JLe _
DATE TIME
/ "II.-() Z Jt ~
/-/.Jt:lg
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
JONORK SATISFACTORY, PROCEED
10 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
.'
Owner/Contr:
CALL 447-9850 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
Job AdCtresi J'133 r De VL c.:r
.
Heating Contractor J ,:. t.p u (I .I /~ ~J , 1{f
Name of Tester tJ ~ t ~.
Date -/.J -- 1<- () J
Percent 0 'U
Percent CO2/'. q
Percent CO () ~
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