HomeMy WebLinkAboutMechanical Permit #01-1166
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMI~,l1\
(Please type or print and sign at bottom)
ADDRESS f1fli- et;~nfV 0trlft Sf:
1. Pink File
2. Green City
3. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOTiO BLOCK CY\DDITION~ 1Ic:t.to bLJ.-
Date Rec'd
PERMIT NOo!2/_ .~
ZONING (office use)
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(Address) 9U4 t21JVYHy '8iJ!cr:r ~.r
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(Address) IIJJbt20 t/J.Nl J. ~
~(~dress)
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL11J4rJe -ItJJj)tJ:;O(2Q\I:U-J. FUEL rJlCd: ~.~-
FLUE SIZE RETURN OPENINGS INPUT fbO / oe 0 OUTPUT
(Phone) MYJ-!3ilJt
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(PhO~ ~~.~~€?~
p/vfY/OdtfJ 6b441
(City) (Zip Code)
(Phone)
DA TE_fdJ!l/ A I
TYPE OF SYSTEM
DWarm Air Plants
,eChanical
:::~nditiOning
Vent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE e:h'i7t, '2IJ
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$ Yf/)J1iIfr :::3'1. 5 ()
$ - .50 AJ\ 0 0
$~ ,.,-v.
ReceiPffb 7 J 1
BY~
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\'Ul FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Building Permit #
~ .'-(0/00
Dj?J-t 6 - I
$39.50
C $39.5.0
$39.50
.
I DATE TIME
CITY OF PRIOR LAKE q-2-o..~
INSPECTION NOTICE SCHEDULED
ADDRESS )4/'( BDfM~ ~~
OWNER CO~R.
PHONE NO. PERMIT NO. I-/It;,l
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
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: Flit/' II.Cl' @
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-1JYJc11- r.,e" r., V( C
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: W f!/- ],-o} Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/VSNOTl
,0
ORSA T T~ST RESULTS
_~ CFH Low 117 n WC Low
-.rzJ CFH High j"_~ '11 WC High
Stack T~mperature ~,,9 Degrees F
02 $_ ~/o Co2U % CO ,O/D ppm
Date: --J/~ 10/ B~ / ~
.-/
TOTAL ComfortlA-abc - 612-871-1717 - 2638 Lyndale Ave. Sou!h, Mpls