HomeMy WebLinkAboutMech Permit 02-1429
CII i OF PRIOR LAIf:E
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I Pink Fei!" PERMIT NO. /J') -)'/ 1'~9
2. Green lIy (/. - '"1'(
) Yellow Applicant
(Please type or print and sim at bottom)
- ADDRESS
ilo63D -H-O-nK l'\r) ", ~
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
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OWNER
(Name) \\~ LU~+0-1(L-P-t
(Address) \LD~?i') WCLnV,.,..(t() \. ~F,
(Phone) ~C:Q-L\L\rJ - ).L.\ Ci.LJ
APPLICANT
(Name)
(Ph
Wohlers Southside Htg, & Air, Inc,
6950 W. 146th St., #106
Apple Valley, MN 55124
(952) 431-7099
(Address)
(Address)
(Contact Person) '''D::J...n \ .l~ \ e:::,
APPLICANT SIGNATURE aLLr{~~
(PhI.
DATE \()- d~- O~
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION ~ REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL nut.rl: U&P:1 O~ ECLl..lfR FUEL NCL-t:1Jro.J.
FLUE SIZE RETURN OPENINGS INPUT 5q ("<"y") OUTPUT ~O~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
I ' OGravity
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
I,'
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial. Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ ~-:
.,
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PER...'1IT FEE
$
$
$
3Q,Oo
.50
J-\(") pt->
(Office lIse Only)
This Application Becomes Your Building Permit Wben Approved
Building Official
Date
Paid ..
Lj() .--
Date'
/0 /" r3-q --0;)-
Re<;ejpt No. .A
Lf/f93v
BYV
J
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 4 -LJ-<J.J
ADDRESS Ie ~j() F *^4t4'dl~ f;-
OWNER CONTR.
PHONE NO. PERMIT NO. 2-/f..,JL1
j
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: plo/rvr, (..,
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P WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: W 4 -(,(... DJ
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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