HomeMy WebLinkAboutMechanical Permit #01-1167
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CITY OF PRIOR LAKE
INSPECTI0N NOTICE
ADDRESS
I'V/) 3D
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION ~
o FRAMING I~
o INSULA TIO~
~INAL e;.,tvV)1 tta.
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED / 1;26-0; ,_~/~W,
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PERMIT NO. .I -JI?;, 7
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 GASLlNE AIR TST
o
~~
,.~
~~~
)t WORK SATISFACTORY. PROCEED
(0- CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector', ~~. ,
-.- J Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNOTI
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_~ /?/IP}t7,Lp,l"lO/K"
HeaIitG'cot~~ tAJ~~, ~
Name of Tester ? 5
O8Ie /O/.2J/O/
Perced 0 6- z..
Perced CO2 7
PercIN CO 0
Stack Telq). / ?" cJ
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
.~~ ~
r -
I
I Pink File
2. Green City
3 Yellow Applicant
PERMIT NOO I-II b 7
F..Z. 0... ... G (office use)
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(Please type or Print and sim at bottom)
ADDRESS
ll-\Ooa -r--o\ r,~ 0" ~ ~i f.
LEGAL DE~CRlPTION (office use only) . .
LOT?'fBLOCK ADDITIO~/21'a(e... ~ ~
. I U
OWNER
(Name) :?o.+ ,)Cl.rnF:,~
(Address) I~D~ 1\D\ \ 'n~
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APPLICANT
(N ame)
Wohlers Southside Htg. & Air., Inc.
6950 W. 146th St., #106
Apple Valley, MN 55124
~ ~\er~
APPLICANT SIGNATURE (Ja~ /] ~
(Address)
(Contact Person) _
PID;}5- 65J COCJ-()
(Phone) _Qn;)- L.\L\5 -qL\ IJ-
(Phone)
Q5d-W3-7c:s:A
(City)
(Zip Code)
(Phone) q5d-L\ ~l -tC:Rq
DATE iell' bl
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION IX! REPLACEMENT 0 ALTERATIONS
FURNACE tvlAKEAND MODEL Cb.,rr\e.{ : 5B m\J 905D-lL/ FUEL ~o..J
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Stearn
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64,50
FIREPLACE MAKE AND MODEL
I.'
Industrial. Commercial & Multi-Family
$39.50
Residential. Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
~s.sl<1ent1al. Additions & Alterations
Residential. AC Unly
$39~
$39.50
Estimated Cost $ t~':1c:c)-:
.,
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PE&\1IT FEE
(Office lIse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$
$
$
~.~
.50
Lb . (:C)
paidti4cJt 00
Date
{O ~ I~-(
Receipt No,
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