HomeMy WebLinkAboutMechanical Permit #01-0889
CITY OF PRIOR LAKE
IiEA TING/ AIR CaNDITIONING/FIREPLACE PERMIT
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,(Please type or print and si,gn at bottom)
ADDRESS
L Pink
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File
City
Applicant
~S11 Cd~(){JC/
LEGAL DESCRIPTION (office use only)
LOT I BLOCK3 ADDITION >?!NO P"'- (-:fr1t
g,':e~R -J~5 h~~~
Date Rec'd
~,. Z,O -- 0 /
PERMIT NO_..,I/ft"Ot"r:1
'ZONING (office use)
PID 2S"" 2,/5 - IJ 2, 7,0
(Phone) C~,. c2 :5/-<:<.c ~
(Address)
:;(CqJlfiijPerson) J /' (Phone)
~Tf!lONATU~4~~;~ DATE y~.-o/
./ APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Address)
'''AJlfLICANT - \ '
'(Name) ~~~
---
'l.
Cb,td
(Phone)
(~)
(City)
TYPE OF SYSTEM
HEATING OR POWER PLANT
[J Steam
o Hot Water
[] Radiation
[J Special Devices
[J -Other Devices
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
(~PLAC~KE AND MODEL I-
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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit # O/-of/yq
$ .39. ~
$ .50
$ 4-0 #'VV
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\'lll FEI~
(Office Use Only)
This A~lJilome~ Your Buildiug pe;i.t ;;;~ ;p;,oved
BUil<l,ng Official Date .
Paid 4fJ" u1J
Date
f/. ?()~ 0 I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
(Zip Code)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No. #~ ~ q
BYp ~/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED-
/2/2--7'" A., (-
, .
ADDRESS
55//
~vJ(__~,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ (-?K?
o FOOTING
o FOUNDA liON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WA lER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
FIREPLACE FINAL
o GASLlNE AIR 1ST
o
,..
)f WORK SATISFACTORY, PROCEED
! ~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~. Owner/Conlr:
CALL 447-9850~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ