HomeMy WebLinkAboutMech Permit 02-1476
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
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~. ~ ~::y PERMIT NO.~_ /~ J 7/
] Yellow Applicant U..., ~
(Please type or orint and sism at bottom)
ADDRESS .
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LEGAL DESCRIPTION (office use only)
LOT ~LOCK d-.- ADDITION f()M./Ar--';Y /Vd U~ t(dJ~
OWNER
(Name) D i G...rte.... -t-\erlT'eJ
ZONING (office use)
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(Phone) 9eJQ-L1YJ - ,~qq()
Wohlers Southside Htg. & Air, Inc.
6950 W. 146th St., #106
Apple Valley, MN 55124
(952) 431-7099
(Address) \ 5e:x DO ~j~L! I n L~\(\, l. ~)VCJ Tr\. ~E.J
APPLICANT
(Name)
(Phone
(Address)
(Address)
(Contact Person) ~ ~\~
APPLICANT SIGNATURE tChr-U.JJ I'L. ~
(Phone)
DATE
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APPLICANT PLEASE COMPLETE BELOW
lbo"l \-e.f ONEW CONSTRUCTION Ii) REPLACEMENT 0 AL TERA TIONS
'7:J:-,~~lAKEANDMODEL h.J..rnh::1m p acH 1t>i-lL..:N~ FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
I . OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
~ot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
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FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial. Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $ L.\':-\ ro -:
,;7
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PER...~IT FEE
$
$
$
-3 Cl, 00
..5..0
G().UJ
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid I J: crO
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Date 11_ i- (}."
Building Official
Date
--
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No. 1
t:ld-9.ZJ;
BY~
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
-
ADDftESS
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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 r;}5\...
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COMMENTS:
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6~t- rcti -eve t.
DATE TIME
/-(,
2 -/47 {,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
, WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: H (-~-D > Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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