HomeMy WebLinkAboutMech Permit 02-1484
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
I Pink File PERMIT NO'c29- - ~;''/ J8tj
1. Green City _ I'
J. Yellow Applicant
Wohlers Southside Htg. & Air, Inc.
6950 W. 146th St., #106
Apple Valley, MN 55124
(952) 431-7099
(Please type or print and sign at bottom)
ADDRESS
\ Gr4 L.j l.- -=rr.~) LLQdOt")6..... Kx:CLC ~ CL .
LEGAL DESCRIPTION (office use only) ~
5~5~ ~ .
LOT BLOCK ADDITION (1 ~a--
OWNER ti-
(Name) r 'C-r"l t-\u.r--t-rrJo....nn
(Address) ILAYC, -t-n"LLCLCt~ ~CL~ r;
&~
(Phone)
APPLICANT
(Name)
(Phone)
(Address)
((
(Address)
(Contact Person)
DCU'\ L.Lr:h\C='..FS (Phone)
((JCu~'~~~
APPLICANT SIGNATURE
DATE
ZONING (office use)
RISO
PIDdS - [)15- (JL/)-(')
q~;;)~ 4Ll7- '7Y 8)
1\- 7 -D2-
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL 0-o.x-r' \ ~ . ~ I,( C V A- 0 "70- \-1 2-. FUEL N ~
FLUE SIZE RETURN OPENINGS INPUT,O; Ct..:L:) OUTPUT ~: ~
TYPE OF SYSTEM
<{:!.warm Air Plants
DGravity
o Mechanical
OAir Conditioning
oVent. System
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
i,1
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 & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Penn it #
HEA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PE&.\1IT FEE
~q ,2:D
.50
Ll~L->
Paid 1ft) ,OU
I Date} 1- / d- -O()-
$
$
$
(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
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No. 0'
.Ll0.(}
By ~
-----
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED /1-2..5- I~L
ADDRESS
/ fn t..t '1(, J vf V) ()(JdoM. tj
(Ir- C( c ?t
OWNER
CONTR.
PHONE NO.
.J.. -/4[)<"j
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIOt-{.-
~ FINAL rvY<-1t1.t.(
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
r
(j(JL
c,'/o
\ --
~
t
I WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: d ! /-2-S-(}l..-ownerfContr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
I
.,.....
..
APPLIANCE
PERFORIIANCE TEST
AIIaI:h fD (JU inti adjBDent fD IfI/lUIIIIor
.l.2/)ltlel-f
--r€J1=
--1J...?
HeaIkIg CorRclor
Name 01 T....
Dat.
Jab Addr8II
HeaIkig Cornctor
Name 01 T....
Dat.
PercenI 0
PercenI CO2
PercenI CO
Slack T ....,.
C).
W'~JJ~~(
--r- ,if'F
/1-7
7,,'1
7~
(!>
.3/4-