HomeMy WebLinkAboutMechanical Permit #01-0630
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIOl'fING/FIREPLACE PERMIT
(Please type or print and sign at bottom)
ADDRESS I ~ I
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I. Pink File
2. Green City
3. Yellow Applicant
&
LEGAL DESCRIPTION (office use only)
Date Rec'd
5
PERMIT NO, (J(-()j, 30
ZONING (office use)
12/
LOT ~BLOCK :::2... ADDITION I<t,)()h lid! _l)tI- PID:;l > ~3 b8- 030 V
OWNER ~/> /C~-~i~~> /tJ6 3~96
(Name) (Phone)
(Address) I L/t!7 6 ftvr ~~
APPLICANTr\ J 7"\ 9 9
(Name) VO AJ ,U l/Z) Y c-H-4- (Phone) ~ 2-- 9 ~ 9// <f
(Address) //lf3 5/1J9,v.-vo,J U ~ S-S-~..,/t/
(Address) (City) (Zip Code)
(Contact Person) OoJ ~/~Z>Yc./~-f- ,dJ A (P~one) 9S-"2--9t?c:- 9//'"
APPLICANTSIGNATURE K~/~ATE &:>/~/u/
./ / APPLICAN~ ~ASE C4ETE BELOW ' '
~EW CONSTRUCTION 0 REPLki'MENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
o ~anical
[31\ir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family I % 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
q!
Estimated Cost $ ~ Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PEMlll FEE
aq, S-o
.50
tlO./CJ U-
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid l(o ,0 0
D019-S)O}
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Building Official
Date
24 hour notice for all inspections e~52) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Re~t~is3
By ~
U
CATE
L/- d)'- 3
Dove at-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
//L/4~,;
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
P JNSULA TION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
11-1 C~
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COMMENTS:
/ (')~
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~.
TIME
(-~36
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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( .",
rU-
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT/W~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!