HomeMy WebLinkAboutMechanical Permit #01-1050
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HEATING/AIR ~~~D~;I~~~~;~PLACE PERMI~)\"' ;~t;:'d
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L P;,k FU, I PERMIT NO. . !Ii.'..'."""..".'.'.'"".,...... .. .~
2, Green CIty . .,' tJ; .' D
3, Yellow Applicant ./,", .' ~
35/ Z-
6W
ADDRESS
WI (" ~o W l? 01C!1-1 TlC-
G (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION 13el- ..5U~~
#33 1l2Ae:r
PID ZS-IOfeJ- 02.-0
OWNER
(N ame)
OG/1N
SA 1'16
TOWNS6IVD
(Phone)
qsa.. 8~c'-80z.s
(Address)
APPLICANT
(Name) DEAN '7DwA/SE,AlD
35/Z WI L,L,-O W BE7fCH 71C- 5 W P '- . 55372-
(Address) (City) (Zip Code)
(Contact Person) DEAA/ (Phone) q Sd - 8so ~~ BO"L.s
APPLICANT SIGNATURE 9.- ( =-- 0 DATE q I 0 I
(Phone)
qSd'83o -80'1:..5
(Address)
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT AL TERA TIONS
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FURNACE MAKE AND MODEL ~e~ ~..S ~e..N,d ~W\ 7 it:> # FUEL
, FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o .other Devices
"~+ + G\O - Pi\e.R.. Tt~ C-
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 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 39'.50
$ .50
$ 4-6. 00
(Office Use Only)
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es Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SctiEDULED
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ADDRESS
7~12- lA./il/ow &~t'~~
'{),-
OWNER
CONTR.
PERMIT NO. ~/-/dS"Z)
o PLUMBING RI 0 EXIGRAD/FILLING
o MECH RJ 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
FP/~
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
Q [).S~ pie-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 0 , CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ