HomeMy WebLinkAboutMech Permit 02-1284
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGlFlREPLACE PERl\tUl
I. Pink File
2. Orca City
J Yellow Applic:ont
(Please type or orint and sism at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT q BLOCK / ADDITION~; rJb1 {faJ24 (~+-
OWNER
(Name)
Date Rec'd
ZO
PID ;;5- 017::] -00915
(Phone) .Q~L\YO -~LD
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W ohIers Southside Htg. & Air, Inc.
6950 W. l461h St., #106
Apple Valley, MN 55124
(952) 431-7099
(Address)
APPLICANT
(Name)
(Address)
(Ad" (City) (Zip Code)
(Contact Person) D:u"'\ \ ."'N)\e6 _ . (Phone) Q5d-L\~\-/DCtq
APPLICANT SIGNATURE ~n~ DATE q -3c)-~
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 00 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL ~\ 1.1' d '. U&PK - \ ~A 1'-\C R FUEL ~E:ttu.(" ill
FLUE SIZE RETURN OPENINGS INPUT I O~COO OUTPUT &, C::f.::O
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
I' 06ravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
1 FIREPLACE MAKE AND MODEL
~ FEE SCHEDULE
Industrial. Commercial & Multi-Family 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 $ 02. q~--:-
,
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL rl!.KL\1IT FEE
$
$
$
3Q.50
.50
L..lO. O-J
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid {/d, ---
Date/t?" 7-0 ::>
Building Official
Date
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39..50
$39.50
$39.50
~OlP?
BY"~
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
5q31.
H i~..-\ Q:1 Il
OA TE TIME
11-1 L /
4: //"Ii
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
Jji""MECH FINAL @J
1~"Y1I1C("
~/
/ 0
( ------ \
~
'f I
,~
L./-
~ - I ).. ~/-i
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
tl WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~.8" CALL FOR REINSPECTION BEFORE COVERING
Inspector: r fI./ J /-1 '1 ~ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
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