HomeMy WebLinkAboutMech Permit 02-0799
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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LEGAL DESCRIPTION (office use only)
LOTl BLOCK 2 ADDITION
OWNER
(Name)
I (Addr:sS)
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Date k
~: ~~~ ~~~. I PERMIT NO. A ..... _ -1 0 (
3. Yellow Applicant . (J,( / 1
ZONING (office use)
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PID,;}5-1?;;l- Db!;'-'
(Phone/~ S~ - <.f'-t O-~ ~ 'd..\
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APPLICANT ~o.J)\- (\"'
(Name) . ~~ ~y-\\~.
(Address) D~~ \~M, ~\- .~~
(Address)
(Phone) O(~ d -1..\ '\ 'S - \ q ~~
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(Phone) q-s a. ~ '-\ '--\. ~ - \ q ~
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APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION PLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AIC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $~ ~
,
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
~r Conditioning
\\\~ OVent. System ,
JillltBfLACr: MAKE AND MODEL ('fiNW J.0
Industrial, Commercial & Multi-Family
HEA TING PERMIT FEE
STA TE SURCHARGE
TOTAL PERMIT FEE
INPUT
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
Ob '\ ~f\O()l\
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PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
~etbackS
<0
$39.50
Residential, Additions & Alterations
Residential, AC Only
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Building Pennit #
$ 2>C\ ~ ~D
$ .50
$ L\~.CJO
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid ~ J((J ,-
Date 7- ;).- d- By
Date
Building Official
24 hour notice foralJ inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
"';,",1'. _
SCHEDULED
71 '02- If /lor
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ADDRESS 35"3'5"" - ~rt r ~, rJ'r-
PHONE NO.
CONTR.
PERMIT NO. ~ - 7Cft
OWNER
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
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GilLINE A~
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COMMENTS:
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;S WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC
CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl