HomeMy WebLinkAboutMech Permit 05-0048
APPLIANCE
PERFORMANCE TEST
Standard Heating
410 West Lake St.
Minneapolis, MN 55408-2909
612-824-2656
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
. REQUEST FOR FINAL
\.~ INSPECTION SENT TO
\asetvoeororintandsilDlatb. .,...) HOMEOWNER 11/05
.JJDRESS
15~
Date Rec'd
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~: =.. ~:~, I PERMIT NO. AS 00 LI.A::II
3. Yellow Applicant V...,.- r/
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LEGAL DESCRIPTION (office use OnlY). / n '
LOT 2wCKI ADDITION /J1~ \fJ/ iMP
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OWNER
(Name)
ZONING (oftice use)
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PID 25. (/93. ooz.. 0
(Phonef?:: -::l
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(Address)
APPLICANT
(Name)
SfMDAAD HEA,. fMolTlONIN6 001
410 WEST LAKE STREET
MINN~~18, MN ~299B
812-824-2656
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I /~ATE
(Address)
(Contact Person)
APPLICANT SIGNATURE
(Zip Code)
J I
111/Los
APPLICANT PLE SE COMPLETE BELOW
(' DNEW CONSTRUC'PON llLREPLACEMENT 0 AL TERA nONS L I
rlJRNACE MAKE AND MODEL hfV\Cf"yv{ " ~S5 FUE~~!. ~qs
FLUE SIZE RETURNOPEN~ - INPUT ICX!):-~ OUTPU~
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants 0 Steam
o Gravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
DVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace $39.50
$39.50 minimum
Residential, Heating & NC (New Construction) $99.50 Residential, Additions & Alterations $39.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50
Estimated Cost $ ~ ~ 3 Building Permit # (J 5, 0 o+t!J
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 39,~o
$, .50
$ l.f.O.. OC>
..
(Office Use Only)
~ This Application Becomes Your Building Permit When Approved
paid~. () cJ
Date I. I -1--. tJ S-
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Receipt No. f-'8 & .f 2..
By
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Jt PRIOR LAKE
..:iPECnON NOTICE
SCHEDULED
ADDRESS I 52 ~~
v
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 ~UMBING FINAL
,...cr MECH FINAL
COMMENTS:
l ~ \"'0:.
-+t r Lo
TIME
s- 'Ie
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CO",,~K. CALL FOR RElNBPEenON BEFORE COVERING
Inspector ~/ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!