HomeMy WebLinkAboutMechanical Permit 04-1224
CITY OF PRIOR LAKE
HEATING/AIR CONDmONlNGIFIREPLACE PERMIT
Date Rec'd
I z..IJ>. 0 -f-
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~!YJ!e or JlIiDt IIId IiDllbol1omI
I ADDRESS
49t./6 buFF
IklbflT:S
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~
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ZONING (..... UIC)
LEGAL DBSCRIPTION (oftk:e... DIlly)
LOT BLOCK
ADDmON
PID~-. 4oZ,. oJ':. 0
, OWNER
(Namc)~AL/
(AcIdless) 1/'7~6
~OAc
r-:<" "c: c
,(Jt..,c ~~p;.,7/~ (Phone) (;,/t': ~R3- 98B.3
4,,.; JI-r'5 -;;:- ,~
. APPUCANJ:., . ,
(Name) <<-....,,4,",,,--, (=12,6/p'b
(AcIdless) 4746 .f3:u~'2, 1!~-fS
(Addms)
(Contact Penon) rSAA-L/ /l ~~~
APPLICANTSIGNATUl'" ~~.-, J.~ J
'-- - './ '-... . , ----
APPLICANT PLEASE COMPLETE BELO}Y
I [)NEW CONSTRUCTION 0 REPLACEMENT J2'I AL TERA nONS
~ FURNACE MAKE AND MODEL /- FUEL ~.<:;
FLUE SIZE REtuRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plonts 0 Steam
BOravily 0 Hol W_
MocIwIic8I 0 RadlIIIon
OAir CoIIclitioning 0 Special Devices
OVenl System 0 Other Devi<:ca
~.
I", <~
,/
(phone) G,I.!'; -If?::; -q~?,
~''''P, I-Aw !55,3q~
(0It) ,/ (Zip Code)
(phone) t.1'Z,- qP$- ~ '\
DATI! / Z/;3/o';
PLEASE NOTE:
Air Condition.. Units
Cannot Encroach into
Required Side Yard
Setboclcs
~~a~~~Mooa,~-6~~-D
./
Estimlled Cost $
FEE SCHEDULE
1% of job cost Residentia1, Gas Fireplocc:
$39.$0 minimum
$99,$0 Residential. Additions &. AltcrIIIions
$64,$0 R"':, :.,:,.1. AC Only
81, 6' 6 Building Permit # tJ + . I'Z 1- ?-
$39,50
$39,50
$39,50
IndUSlriaI, Commen:ial &. Multi-Family
IL;~_.:.J, HeaIina &. AfC (New C ",",_, _'00)
Residential. Heating Only (New Conslruc:tion)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ J'f, 5-0
$ .50
$ 4(), /10
(0lIk0 U.. 0.1)')
This Applleallou Beeom.. Y o.r Bullcllq Po..1t Who. Approved
_.. 0lIId0I
I Paid
40 .VV
Dote I ~7 ' 13. () +-
24 boar DOlIco foun (, " ..,. . (952) 447-9858, I'u (951) 447-4245
16* ElI&Ie Creek A_no, Prior LMe, MN 55372
Receipt No. 4/1S1t e
BYp
.-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
{}t
DATE TIME
SCHEDULED
11-,-jJ~
4t1f.(O fJJ# 1M
CONTR.
PERMIT NO.
L.( ~/22 L(
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI , 0 COMPLAINT
o WATER HOOKUP .' L! ...ocFIREPLACE RI
o SEWER HOOKUP ~'7'T 0 FIREPLACE FINAL
o PLUMBING FINAL /;0 LINE AIR TST
o MECH FINAL G"
~
jl'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOi~;,~ALL"R REINSPECTION BEFORE COVERING
Inspector. i! i ~ Owner/Contr:
I
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
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