HomeMy WebLinkAboutMechanical Permit #01-0957
*Permit# 0 ~\ - O~ S -,
*JObAdc!r~...3L( (D ~ilt-~.c.."'-W",,42.. 't-....... t
*Heating Contractor ( rM)ET~O AIR
.Teste"'Signatur.~
.Gas Une
Pressurized
Inspected
· Percent CO2
· Percent O2
Final Inspection
Date
Pounds
Pressurt!
Time
PERFORMANCE TEST
11<1S t>zo
/'7h
6'70
("21~F
· Percent co
.Stack Temp.
Date
-
CITY OF PRIOR LAKE
I~SPECTION NOTICE
UI'\.a.
SCHEDULED
3-21"'o~ .fU'V
l
ADDRESS ..3470
OWNER
PHONE NO.
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
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS(D. ~
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~WORKSATlSFACTORY'PROC~-- -~ ~_ . ~
o CORRECT ACTION AND PROCEE
CORRECT W?JK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File PERMIT NO.~V' /) a~
2. Green City -V 7 c
3. Yellow Applicant
(FJc;ase type Or print and si~ at bottom)
.o\I?DRESS
~ '-\ "\ D S"J l (,\ Y'1 or(.
... \ \
\ V'c.,\ \
ZONING (office ust)
A ISD
L~GAL DESCRIPTION (office use only)
HH 1 tJ..1LOCK ADDITION Yf/~J.
f\ (~ ~.v
PID dS- D1g;-- 00(;-0
qWNER \ t' C' ::,
W~me) ~ "-
(4~dress) .~ "",,l d
(Phone)
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,y - - -
. APPLICANT '^ \-
(Name) ~~~f\J ,~,,- --i- n ~
(t\~dress) \ ~ C\ ~ \J \.j, \ l(J~ f\. \I '-..
. I (Address)
((\mtact Person) \ L\ V\ L- \1 ~ LJ'-' ~ '- \ \.
ApPLICANT SIGNATURE ~.~~1 L~
(Phone) ~ S ~).. '-1 \\ l- ~ \ ~ \.{
~ c\ ()- '--~ \u... 0t0 .s s ~~'I d.
(City) (Zip Code)
(Phone) 9~' A - "\ "'" t. 'd ~ ~.'-\
DATE
APPLICANT PLEASE COMPLETE BELOW
-: DNEW CONSTRUCTION ~ REPLACEMENT 0 ALTERATIONS
F~J~NACEMAKEANDMODEL C<..~vr,'\.V" <"Xf\ \d.\:)- ;)-V FUEL tv c.,t
Fl.lJE SIZE ~ \J \.. RETURN OPENINGS INPUT\)l). 0 ~G OUTPUT \ \). C){)\)
'~
TYPE OF SYSTEM
. {gWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
REA TING OR POWER PLANT
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
FII\EPLACE MAKE AND MODEL
In~Jllstrial, 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
~ $J~
;)j~.::>U ..
R~~ldential, Heating & AIC (New Construction)
R~~idential, Heating Only (New Construction)
Estimated Cost $ S- 5 ~ ~ CY'
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ ') c\ SQ:.-
$
$ ~ (\ ,..,
.50
((mice lIse Only)
',". ...
Jhis Application Becomes Your Building Permit When Approved
Building Official
Date
paid:$)J. 00
"'/0..1
DateCj_q_Of
Receip~ NA' .. J
Cfa.53r,r...
By iv
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245