HomeMy WebLinkAboutMech Permit 02-0701
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CITY OF PRIOR LAKE}
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tyoe or Drint and sign at bottom)
ADDRESS
~. ::n ~!~. I PERMIT NO. /')'/- 7tJfl .
J. Yellow Applicant C/ t7'- . ".
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~&. YYJ~(}vcl.PID;2fi-D70-0IS-0
~ (".of}- /<J; ('-f Vtuw ~ . (Phon~4Yo - 0~D
(Address) 5" ~ q I C~~ ~ -rry
APPLICANT J .
(Name) STANDARD HEATING & AJR CONDmOOING co. (Phone)
.. I U yy t:::J I IJU\C":> I Ht:t: I
MINNEAPOLIS, MN 55408-2998
~12-824-26..ljB
(Address)
(Contact Person) ~~ ~
APPLICANT SIGNATURE /
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LEGAL DESCRIPTION (office use only)
LOT (~LOCK
)-ADDITION
OWNER
(Name)
(Address)
(City)
-
(Phone)
~
DATE
ZONING (office use)
-BJsb
(Zip Code)
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APPLICAN P ~EASE COMPLETE BELOW
DNEWCONSTRUCTIO..N rw.ACEMENT DALTERATION!j.,/ L'
FURNACE MAKE AND MODEL YCJ~ ~I:+- FUEL ...elet/f7;C,.../
FLUE SIZE RETU~ OPEN~G;- INPUT "3 C , ~ OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
[ Mechanical
~ Air Conditioning
-ov ent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
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Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~, .s.<:>
~ ,_ .50
'-to.. eo
(Office Use Only)
This Application Becomes Your Building Permit When Approved
~
Paid L/I) / OU
Da~,. (cJ.. -() ~
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCllIEDULED
ADDRESS
/) 39/-
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 PLUMBING FINAL
o MECH FINAL
DATE TIME
3-d.l-3
~c4~
ct
:J. - 76/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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COMMENTS:
/J(h~
l---- . - I'
F-/: ~
I WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'",peetoc .tJ/f? 'l, - ~'lCo""
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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