HomeMy WebLinkAboutMechanical Permit 04-0851
02/27/02 WED 11:09 FAX 61H4T424~
CITY OF PRIOk LAKE
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGfFlREPLACE PERMIT
Date Bec'lI
B./C6.o4-
i:::' ~:~ I PERMIT NO'04- 085/ I
3, y~ ""11-,, .
(!'kMe lvoe .r _..,6 sia:1.. boal:lm)
IADDfSSS3S O~ l'~'\
I ZONING l_n,,)
LEGAL DESCRIPTION ,._.... .dly)
l.OT BLOCK
A..J.JLJ~ .I.,10N
FIDZG. t.&7. 00 I. 0
(Fhone)O'S,:) .Yl1D. W')..f,lJ
,
OWNER
(Name)
~ l'-1 S*~~
I~:s;::;- ~ l.-1~'1
~~~ANr-J Lcl~" f\.4. ~ t.a&-)
(Atldres.l 15\~ 19JuD~
'-..... (.:..dcIft,,)
(Cont&Ql Person) ~!j>..; . cJ \.}c:::I..-K. ~ l\S
, . .
APPLICANT SIGNA:
(phone) ~S.l. 1.:.1 d.3..~<;;!1
(~l1P~~
(Plne) to/ a . 3t.o3~ -, '-j OS _
/ DAl'E <611~ 0'-1__ .._
APPLICANT PLEASE COMPLETE BEt-QW
ONEW CONSTRUCTION 0 REPLACEMENT pL lERATIONS
FURNACE MAKE AND MODEL Fl.;EL
FLUE SIZE RETtJR." OPENINGS INPUT OtrIPUT
TYPE OF SYSTEM HEA'TINGORPOWERPLANT
. DWarm Air Plants 0 Ste:am
OGravity ~ u..~ W~
'mENAcr.J'~~B~~~)
----,~- \ ,-- ---
''''ES~ -
1'\ of Job COSt Residl!lltw, Gas Fireplace
539.50 minimum
$99.50
$64.50
(Adclr...)
PLEASE Non::
Air COllclitioner Units
ClIllIlotllllcroach !cta
Required Side Yard
Setbacks
Indurttial, Comm.rcial 8< Multi-Family
S39.5O
Eslim&lod Cost $
R"i<lelltial. Acldition. &; Altotlllions
Rosi<lelltial. AC On!y
BuildingPetlllit # O~J}fJ57
$39.50
$39.S0
Re.i<lell,iol. Hoating &. AIC (New Consllllaion)
Residential. Ileatl.'g Only (Now ConsttUcrlan)
HEATING PER."IIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
3g.ru
.so
~ o. '-.0
(Olli<o U.. 0.1,)
This Application Becomes Your BulJclille Permit When .....proved
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_",or
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Do"
IPai~.vu
ILla1llt' / f}, o?-
.RecclplN+.7Jc;,4-
BYF- -
:u bour Dotice fal'.1I inspectioftl (952) "'..9I5O, fat. (952) 447..4245
DATE
c7~(
/s-s~_?) O~eq9 fr/
,/ 1/5--/-
CONTR. o.
'o(-F; ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
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
o MECH FINAL
COMMENTS:
-~ / /"
2S-~ /%r ;/~.J r
~5~'; ~ &Jt:-
G";. 5 _ //?';~..- 76
A..-u .,If JN~ .... :. //' t'" 1--J
TIME
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~SLlNE AIR TST
o
~~'
r~~ -
h)~,/J/9c ....
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w/04' 5116'
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W7~.lJ('J
~ORK SATISFACTORY, PROCEED
/ ~ ~ORRECT ACTION AND PROCEED
o CORRECT WOj$.>>REINSPECTION BEFORE COVERING-
Inspector: / F7 ~ Owner/Contr.
CALL 447.985Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
-,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY/