HomeMy WebLinkAboutMechanical Permit #01-0587
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CITY OF PRI'OR LAKE
HEATING/AIR CONDITION][NGIFIREPLACE PERMIT
Date Rec'd
d 'l~.~"
I. Pink
2. Green
3. Yellow
File
City
Applicant
PERMIT N~jIf- S~1
i' \i'
~~ONING (office use)
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(Please type or print and si~ at bottom)
ADDRESS
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tu//IDN
6-uJf1 /J 7/~i I J:C/0 I
LEGAL DESCRIPTION (office use only)
LOTG\ BLOCK Lf ADDITION
OWNER
(N ame)
( JIlre/3t
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/ j) .d(JJ1A/J/ ;3 r-d
JOMSlY7
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PIq;JS-/!O-() :gO-O
(Phone)95a- LfL/7-cP/()y'
(Address)
APPLICANT /J ../ , I ~ /l~ . - /le:::-/ /.c. 1/)/"10
(Name) HOIUt1/}rvtL/fL. /hr J /~" (Phone) ~Jd- L/y-Z-/-j'-7U1
(Address) ,8,?-6 JOe/1ft ('1. fA) 4 {~ha/w./:J~e / /1l/li 5S37Q
/J (Address) - , (City) (Zip Code)
(Contact Person) LJC:f;i;;f /t / / /.1 _ '. (Phone) 9S;?- Y<S-/960
APPLICANT SIGNATURE /~ ~~ DATE &-/~-Ol
~ -
APPLICANT PLEA~ COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL )(/'f7/YJOi.e., (017J;J; DO -3 FUEL M/fT
,
FLUE SIZE RETURN OPENINGS INPUT /00/000 OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
A/~ OVent. System
ffREPLACE MAKE AND MODEL j{ e(} rnDre
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
C ~;r ~L/ d-lot7
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHJEDULE
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 $ ~()(;()!!2 Building Permit #
$39.50
$39.50
<!9.50 )
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 69.50
$ _ .50
$ L-/O ' 00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
pai'lfo / 00
Date
b-/3-0 I
Receipt No.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
BY~
A8DRESS
3Lf!?
DATE TIME
SCHEDULED Z/.LJIc I ~ { c1Q
,
wth~ ~ /K.r
_.' ClTYOF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT "10.
~I - ~l?"7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKlJP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:~~.,.:A- ~ ~.C l
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~~
.Jf WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION E~EFORE COVERING
Inspector:
~)
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTIC)N 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PE}'~ONAL HEALTH & SAFETY!
INSNOTJ
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