HomeMy WebLinkAboutMechanical Permit #01-0457
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CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT MAY j 6 2001
, ~~..~.
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1. Pink File
2. Green City
3. Yellow Applicant
PERMIT NO. ~.__._-------;:t
_1;//-0'-15'/1
(Please type or print and sign at bottom)
ADDRESS
~IOL' -:Kc'l'jers
LEGAL DESCRIPTION (office use only)
"
'It
,~! ZONING (office use)
Ii. {CISD
(fr-. ~r~.
ADDITION ~ ~O
OWNER ~
(Name) S.f-.e-\((..f') l~\..P Y \0 ycQ--\-
(Address) IL;/IOL~ -:2~0 St-.
APPLICANT . G ~ _ n
(Name) :5+-e y~ -;:;)~h.CLv~. \-
(Address) 'L~ ( (l L--- ~ \ }./ f~-
.- . -. -(Address) -. -
(Contact Person) \_,:..{J 1.~_
PID~S- qJO - Or;,;;Z_''()
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(Phone) ~-L'~-~J?<()
L)fE-~ ~-d-?148iZ)
(Phone) q6~ ~ ~
LOT
BLOCK
(City) (Zip Code)
(Phone) 1eJri-Vl- ()(ec.C:
APPLICANT SIGNATURE
DATE
\ APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTIO~ 0 REPLACEMENT 0 AL TERA TIONS Q
FURNACE MAKE AND MODEL 1-M.orOtM_ .e" FUEL ~ ) (La
FLUE SIZE RETURN OPENINGS INPUT OUTPUT I'
...
TYPE OF SYSTEM
~Warr~ Air Plants
.. - DGravlty
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
D Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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 $ ~i' 0"6 Building Permit #(y> -)?::?~
$39.50
C($~;;^ ')
)j~
$ 3qr~D
$ 50
$ YO,OU
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\'111 FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
paidi/tJ /0 ()
Dat:$_/'7-G/
Rec~t ~~ q'l
BY~/
(/
Building Official
Date
24 hour notice for all inspections (9~52) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDlE-ED
..... '
ADDRESS /4/04 ""R~ev-~
OWNER
CON'TR.
PHONE NO.
PERMIT NO.
~tol
, f
TIME
Pt ( -
/(//- t;~~7
o FOOTING 0 PLUMBING RI
o FOUNDATION :0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL ~'p-UMBING FINAL
o SITE INSPECTION n .~MECH FINAL
COMMENTS: IAvt t+- kl".ak- A-l - <f-Clro'f'
------ ~:...----
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( 4~....../'~~),
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if ____"
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
~IREPLACE FINAL
GASLlNE AIR TST
D
~RKSATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, <4.LL FOR REINSPECTION BEFORE COVERING
Inspector. ~...t (J>>l/ Owner/Conlr:
CALL 44~.9860 FOR T.k. NEXT'INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl