HomeMy WebLinkAboutMech Permit 02-1229
ClI i OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIl
(Please type or orint and sim at bottom)
ADDRESS
IL-\ B 10 ? (x."\ -e...> Po \ r'\t CLtI ·
Date Rec'd
I. Pink f;le
2. 0.- City
J. Yellow ^pplicant
PERMIT NO.
ONING {office use)
;Z/5f)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION 7J/'f} ~~ ~::Ii /
OWNER -r.
(Name) NCL~ ,I\" w-f', cd l.JO~~e..(
(Address) \L-\ B .. ~p i ~ " €-) ~\ nt' r,'.,-.
Wohlers Southside Htg. & Air, Inc.
6950 W. 146tb St., #106
Apple Valley, MN 55124
(952) 431-7099
(Contact Person) Cb.n ~\erS
APPLICANT SIGNATURE ~;J'7?..LJ~
I
APPLICANT PLEASE COMPLETE BELOW
, 1Y~ t ^ (" ONEW CONSTRUCTION [)l REPLACEMENT 0 AL TERA TIONS
FUR~L\et: MAKE AND MODEL -.hLrT)~ " P '0\0'--\ FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
APPLICANT
(Name)
(Address)
DWarm Air Plants
, . D6ravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
!Sa. Hot Water
(]'Radiation
o Special Devices
o Other Devices
I FIREPLACE MAKE AND MODEL
PID JS-() qq-m-P
J
(Phone) ~ LlL\O -.:)ct IS _
(Phone)
(City) (Zip Code)
(Phone) ~-L\0\-10C\q
DATE Q- o.lD-Qd--
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
/,'
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50 Residential. Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
(Office lIse Only)
Estimated Cost $ ,c:;,c::..cfL).
,
$39.50
$39.50
$39.50
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PER...'fIT FEE
This Application Becomes Your Building Permit When Approved
Building Official
Date
$
$
$
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Date )0" J-'- {}-
Receipt No. t5'P
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BY~
CITY OF PRIOR LAKE
IN~PECTION NOTICE
ADDRESS
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
. ~tr:..L . T)ME
SCHEDULED ~
L.-B7 S My t6-+'r c.llL
CONTR,
PERMIT NO,
Oz... - (Z 7- '1
--"lL - Uoo" .
,
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
. 0
,
c /-_
, . -U/C./V uS-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
lA/ A-r~ /1- 1Irr,.,.
r
/:L-O") 6
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;z::.-j ie-S
,; ,
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~q- Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl