HomeMy WebLinkAboutMechanical Permit #01-0785
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONiING/FIREPLACE PERMIT
(Please type or print and sign at bottom)
ADDRESS
54 os
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LEGAL DESCRIPTION (office use only)
LOT 4--BLOCK 2-ADDITION frlOOBrJ PONO
OWNER
(N ame)
J 'C. f\f't,,' .(~r D..t l ve 0.. v)(
(Address) 5: 1 0 "~
r:e rr,' c:. . 'r t, l.rc
APPLICANT III I A.
(Name) L.rlC<L i/. / If! '/Ie" f-,'Y) . /1' r
(Address) 7 /~ J
'- "^ G\ --v" ~ '< c.v L 'tf"'" '-<:
'"' (Address)
(Contact Person)
D~~
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APPLICANT SIGNATURE
Date Rec'd
7- 2--5 -01
~: ~:n ~~:y PERMIT NO. 01- o7f5
3. Yellow Applicant l/
ZONING (office use)
prD "/C;-073 "OZ' - ()
(Phone) I-ft.f () - / r Ct cl.
(Phone) '1'-1 (!- '-I ~ ~ <[
1:, id/ L 'tie
(City)
S--$"' "3 7 ~
(Zip Code)
(Phone) "140 - '1 g~ ~
DATE .J~ ~ s'. -(>/
v
APPLICANT PLEASJ:, COMPLETE BELOW
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL /tlI r r,' t'" r
FLUE SIZE ).. J I (> V <.. RETURN OPENINGS
TYPE OF SYSTEM
~EPLACEMENT
M v f7 It' 0
o ALTERATIONS
FUEL
OUTPUT --'c;;I'J () 0
INPUT
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AIC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
Estimated Cost $ ). e 6 t> </' Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PEAAul FEE
(Office Use Only)
This AP'i~t1)t .......Becomes Your Building Permit When Approved
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Building Official Date
$
$
$
3,Q. )()
.50
4-D .0()
Paid ~ . cl)
Date
,-7f-O'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$39.50
$39.50
$39.50
Receipt No.
11,"ttJ If ~
By f}vL-
j
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
Sf 03
~r;",/
CONTR.
DATE TIME
J-I.S
Cr,-
1-7~S
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
rik-
'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECTf1/1JWORK CALL FOR REINSPECTION BEFORE COVERING
'7 ."./ <--7)1
Inspector: ?./ Owner/Contr:
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
F(/."......,4~
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFEn
/1I$NOTJ
Job AddreSS
Heating Contraclor
Name of Tester
Date
Percent 0
Percent CO2
Percent CO
Stack Te"1).
S~O J' lerr; (l(t:~
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40 ~~~ 01
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