HomeMy WebLinkAboutMechanical Permit 04-0920
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
OWNER
CONTR.
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
~CH FINAL
-.O~ 9'20
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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"WORK SATISFACTORY, PROCEED
/~ CORRECT ACTION AND PROCEED
o CORRECT WORK, C~L: F~EINSPECTION BEFORE COVERING
Inspector: /d~. Owner/Contr:
)'
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
IIiSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
. ,) '.. -.., . . I-. . , ' 1ti-~. .,'
Per ection~
. " 651-439-3902 LICENSED
,~ 651..351..2839 (FAX) INSURED
13951 60TH ST N BONDED
STILLWATER, MN 55082
, (JL(-q~6
HEATING E AIR CONDITIONING '
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LAST (.J
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ADDRESS I <j cAr I
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NET STACK TEMP
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WORK PERFORMED:
.WKPH
DATE ,) . /../- t~)\/ SERIAL Po/)(v
~,AA ~ INPUT ././_:)
- 6RSAT TEST~ECORD
FIRST..)'..,: \~t:/)'L-<:1
rif)" " ,,(/ ~ --r- /~ i_' ,
I ',;..,,--.1 """""",,- V
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. ZIP,
%
cfh
%
METERED INPUT
LIMIT SETTING
PILOT OUTAGE
see
%
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EQUIPMENT
TYPE /l,,~"~
'/>"', :' '., ..-'
MAKE /I>/~~/
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MODEL /:;>2;' II::? /j ,.J )7.:::.'
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~./ 7J, 7
CHIMNEY TYPE
FLUE SIZE
CONNECTOR SIZE
TOTAL CHIMNEY INPUT
-r-
in.
/ in.
l
btuh
PRICE
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
9. /.3. ~4-
~:::m ~:~ PERMIT NO. tJ1-. ~QZ 0
3. Yellow Applicant , ,
(Please type or print and sign at bottom)
ADDRESSf-.~B( (, V/Mw LN
ZONING (office
use) ,e ISf)
LEGAL DESCRIPTION (office use only) Dtlk.1 Ct /Vel B ed.Gk LfU
LOT5BLOCK I ADDITION OR~"~ ~
PID "Z-J. r:rl'. 005. '0
(Address)
2H4NA ~
Lf-Bfv VVVJlLelN
(Phone) 1(J~ -140-32/3
OWNER
(Name)
APPLICANT
(Name)
PERFECTION HEATIN6
& AIR tOND INt
13951 N 60TH ST
S TILL WA T E R. MN 55082
" Il(Address) (City) (Zip Code)
(Contact Person) J Sit.. JJM ~~ (phone) JIlS! -4:3q-3q(f) ,
APPLICANT SIGNATURE ~ 1 DATE 9-P--t!>-/-
~PLICANT PLEASE COMPLETE BELOW ~
DNEW CONSTRUCTION ~REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL yVlCW1u PGtl RA 011.. CAlA FUEL-.C,AS
FLUE SIZE 5' r,( RETURN OPENiNGS INPUT :14(JF)tJ OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) Jf'i( -t-f9 Cf -3? ~
(Address)
~
"iiti~r~\€E MAKE AND MODEL yYl ~ ~ (J~ A { f3 DO 3D tC-
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
Estimated Cost $ 1- -{; ()() d}, Building Permit # 04- . 0 9 z,. 0
HEA TINa PERMIT FEE $;11, 50
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $.t..f () . rrO
~w arm Air Plants
DGravity
D Mechanical
b3Air Conditioning
OVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
$39.50
$39.50
$39.50
(Office Use Only)
Buildine Official
Date
paid~. 0 0
Dat~.13.. O~
Receipt No. na ~4-
-'I
B~
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245