HomeMy WebLinkAboutMechanical Permit #01-0716
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CITY OF PR.lOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
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(Please type or Print and si2Il at bottom)
ADDRESS
S3' 1 Eoun-~ ~--.
SE.
Date Re~'(
I Pink File
2. Green City
3 Yellow Applicant
I ONING (office use)
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LEGAL DESCRIPTION (office use only) ... t
LOT (p BLOCK l(? ADDITION/!J~ W
(Phone) ~.l!J 3/-7CPtB
rip) f"; Va fY 55/d-LI
(City) (ZIp Code)
(Phone) q5a-j tJ3}-7Dqq
Wv1~ DATE 7-Q-OJ
OWNER .
(Name):lf1>WI~ T' Co.YD
(Address) -53 t I 80u n-hl
I
APPLICANT f\ I"", lP
(Name) WUL.JD ,y~
(Address) tcR.'5"O W.
2cnn
S-r SE~
SDLttbsidu H-Jq.
lv
i!iJ.R1:P Sf. - #/DljJ
(Address)
!JLmJCt5
-A)~~
(Contact Person) -1)a n
APPLICANT SIGNATURE
PID,;rl - / gr/.- 06 LJ-O
(Phone) q5d-J 1./4/) - 73;)-0
. . -
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT ~~ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWarm Air Plants
I OGravity
_Q Mechanical
ft'-ir Conditimling
f1 U OVent. System
~L:'~AKE AND MODEL Ruud
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
tAft M 130~
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential. AC Only
I,'
Industrial. Commercial & Multi-Family
Residential, Heating & Ale (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PE&VIIT FEE
(Office lIse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$39.50
($39.50)
$J~.':'O
Building Permit '#
$ ~.'5D
$
$~l--
.50
Paid Lj() /0{)
Datej_/ h - U!
Recei~t ~~ I d-/}
By ,
~
CITY OF PRIOR LAKE
INSPECTI~ NOTICE
DATE
3-;)/-3
63/1 llCJ~
/
CONTR.
/-7/(P
TIMe:
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
/J/U~
I / ;1; )
lH' /
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/"
/
~
I ('"
. Jk-"
----
f rl
r-/LR
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~O". CALL FOR RE1NSPECTION BEFORE COVERING
Inspector: .r Vt,,, 3" 2/"'J) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSJliOTl