HomeMy WebLinkAboutMech Permit 02-0798
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File PERMIT NO A t(;
2. Green City . Ud - r1 .
3. Yellow Applicant _ - f
(Please type or print and si2l1 at bottom)
ADDRESS
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{JA f rJ ;CJV', ~
VI . J
S-t:6
. ZONING (office use)
fUSD
LEGAL DESCRIPTION (office use only)
LOT ~BLOCK I ADDITION .;j. hR
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PID ~5 -1Ja l.~ tJ03-{)
., (11. I" ('1 A
j).rd-Jers S-I--.
~:;~~~; l"P C tel e. ~ 0 V'JII e r /4 J JieJJ; ((' (rdflrI"none) 9s;J-f'9/J-tJ 76/:/
(Address) 3f"s-O (j), f!,,~ /3 (JiAf'1IJ.Stl/lkJ/1!)J.356.""3_~
Address) m ' (City) (Zip Code)
(Contact Person) ~~ t zP. t S (Phone) Q4'''''- 'i?'t)O-1? 7?fl
APPLICANT SIGNATURE \ o,~' DATE :fi..(Jl,O 27fltJ 'ad..
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Address)
~p 't-~U(J
/40S1-(
(Phone)
95~-l(/j5-3V~r
OWNER
(Name)
TYPE OF SYSTEM
REA TING OR POWER PLANT
OWarm Air Plants 0 Steam PLEASE NOTE:
OGravity 0 Hot Water Air Conditioner Units
o Mechanical 0 Radiation Cannot Encroach into
OAir Conditioning 0 Special Devices Required Side Yard
OVent. System 0 Other Devices Setbacks
FIREPLACE MAKE AND MODEL ~-f- J1J-Cid/J J?1.aIIh/"r" SL -7j(,) /:t< ~l/J-e
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
\.~q- 5D
.5Q
'1~ ..c,lU
Paid 1/ {J ,-"
Date 7 ~_
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Receipt No. J _ /
I-/;)-?J lPto
B .
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V
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE
~~;
TIME
,..
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS t l{t;)s-z-t tf2.U~eJV'5
OWNER - ~ CONTR.
PHONE NO.
PERMIT NO.
L- 7Qf,
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 EX/GRAD/FILLING
o COMPLAINT
o ..f'REPLACE RI ..--
q FIREPLACE FINAL
o GASLINE AIR TST
o
COMME]JS:
~wI'<i~~ ~
~
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI