HomeMy WebLinkAboutMechanical Permit 04-0050
CII'.i OF PRlOKLAKE
HEAlll~G/MR..CONDll.lONlNG/'~I.KEPLAl.;E. PERMIt'
Date Rec'd
1. Pink File
2. Green City
3. Yellow Applicant
PERMIT NO.4- - tJt>;O
(please type or print and siKD at b..,~.. &&&)
ADDRESS
} Lj 3SQ
r
JJc?t/f' ~f'f I tiDV' Lale,' JJ/)J $31;;.,
ZONING (office use)
rLl
LEGAL DESCRIPTION (office use only)
,LOT 5" BLOCK" ADDITION
t"k.;6 ""II.<. ~ /i>1}
PID 15" - 3" f3 ... 00<\ -0
~=R 10m .~,f,;/J . (phone) !l5:J-t/03 - W~
. (AdtlresS)Jtf,35tf [bve (I;(2arf. fJr.t'O(')ake
I
APPLICA.Nyl / j 1_ _ j /_ /:I.
(:::) ~~k/:::~'ft1b~;:~ ~~~ ~S~- q9~~:~;~
(Address) (City) (Zip Code)
~:::;:~GNA~~~~on:t.TE 6j~;to~
( , l/ /
APPLICANT PLEASE COMPLEJ.:i!J BELOW
ONEWCONSTRUCTI0N DREPL.A.CEMENT J61' AL TERATI0NS AI/J
FURNACE MAKE AND MODEL FUEL /V (0
FLUE SIZE . RETURN OPENINGS INPUT OUTPUT
n l'~OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. Sy ~~>;'Ul
o Steam .
DiHot Water
o Radiation
o SpecilllDevices
o Other Devices -/;z!b !=. p.
a 11Ad r tJ. ~ ;:; re, f/ttd 6011 I!xAv ;tIrd>
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE ,SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential~ Additions & Alterations
$64.50 Residential, AC Only
A
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Penn it #
r
; >mce Use OnW t
This ~ eeomes ~r JllilJiItngPermlt When Approved :: (.4~.-
Buildinl~ Date ,-. '1- 'O~
24hournodce for all inspections (952) 447..9850, fax (952) 447-4245
lil9() Eagle Creek Avenue, PriorL.~e~.l\tNSS372
HEATING PERMIT FEE
STATE SURCHARGE
'EQI"AL PED.u1I4~~
$
$
S
3~m
.50
Llc) ,
ReceiPtNo4 ~L..4- f
By (2.D t1-
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED ;2 . ~-Ot.{
ADDRESS I L.l35 L/. f:hte. 0 ~.
OWNER
CONTR.
PHONE NO.
1-50
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
o EXlGRADIFILUNG
o COMPLAINT
)( FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMr&:NTS:
-1. .'1oVi~ ,,\ (\~~~ CLt.kJ.' ~
'2. M...:l.\,\....:. Q~ (l&fv..<.r. ...~.
ok .k,. ~~ a
o WORK SATISFACTORY. PROCEED
)l.. CORRECT ACTION AND PROCEED
o CORRECT L FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL -98 THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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(;ODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
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