HomeMy WebLinkAboutMechanical Permit #01-1148
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
1. Pink File
2. Green City
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
yf(P{, /Y}or/1r. Jq/e S-I" t.~-I JU E
LEGAL DESCRIPTION (office use only)
LOT)6 BLOCK I ADDITION ~ ~ f s-l-
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OWNER
(Name)
I lIck;
(/<f(&
BIG/b.
/t/url! F\ dole ::;i CL -I VI;
(Address)
Date Rec' d
PI~5-6~(}I()--(
(Phone) f'5~ ~- b~ S-
APPLICAN1::;:-A I . /' {\ ~
(Name) " ~ C Wide (1fl/ "-- \rrVICC' J
(Address) /7 ~~3 IJ) 0 9~, ~ .. )4...-er 4-1
. / (Address) - (City) (Zip Code)
(Contact Person) -.LJa v e _ (Phone) 9~c9 ~ </c/o?' 39$10
APPLICANTSIGNATURE _/U -1.Ju./9tdLw'" ~.sD~TE _/0111 LtJ/
(Phone) 2Sc2 -Y<lc9-.-B99o
APPLICANT PLEASE COMPLETE BELOW
DNEW CONST~YFTION D REPLACEMENT ~ AL TERA TIONS
FURNACE MAKE AND MODEL /luql/Jn FUELN41-;4,.Q I
FLUE SIZE d - ~ RETURN OPENiN~S . INPUT .30 tl>CJO OUTPUT
- . ,
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL .4 ~a,~..
o Steam
o Hot Water
D Radiation
o Special Devices
o Other Devices
/JUS ~~-f
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Fe~--
'-"
FEE SCH~E
1 % of job cost ~idential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
,2/V\^ O~
Estimated Cost $ ~:2LA-^J--
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\'Ul FEE
$
$
$
0q,.~o
.5.0
C/o ,..0 u
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid L(O~oO
Da(o-/I_O)
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$39.50
$39.50
$39.50
Recrr~b9'?
By tAC/
(/
DATE TIME
CITY OF PRIO~LAKE
INSPECTION NOTICE
SCHEDULED
I!jt 2/a (
11; 90
ADDRESS
'/J>iP/.p
~
OWNER
PHONE NO.
CONTR.
PERMIT NO. -.fJ ( -/ / L( J'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FilliNG
o MECH RI ~ COMPLAINT
o WATER HOOKUP FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL.: 0 GASLlNE AIR TST
o MECH FINAL 0
COMMENTS: f) - 4&
f2RA
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I
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-
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Q~ ~ (~)
iwORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~#ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI