HomeMy WebLinkAboutMech Permit 02-1489
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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ADDRESS
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LEGAL DESCRlt'TlON (office use only)
LOT II/BLOCK
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ADDITION
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(Address) / ~;;J..'J.g {:} Sh P+- R~ f, L
APPLICANT (\ 'k-' \_\ \ ,,/ /'
(Name) rt' \ 0\ ~ _ r\~ <O-J-I L.
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(Address) J t, S1S 'f P~,h b) e ~ roO I< ~+--
. (Address)
(Contact Person) \:)e:,o......J ~'^ c&..-\-
APPLICANT SIGNATUREti )~AA'1 ~J-
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Date Rec'd
~ ~::n ~:~ PERMIT NO. /\ ) _ IJ ice.
3. Yellow Applicant Uf?J IL? 5 I
ZONING (office use)
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(Phone) 96~-Lf_Y[)-Sm
(Phone)
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(City)
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(Zip Code)
(Phone) jS:l-lJlJ7- 'gJID
DATE J /- J..":) - O:J
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL 8L\r^h~~ g~~\e, ;>DIt,}J FUEL IJ.IJ r
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FLUE SIZE / it RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
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
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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 Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(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
$
$
$
39,50
.50
4 (j/ cD
paidL(O,oO
Date/ / _ / 3 ~ ()g..
$39.50
$39.50
$39.50
ReceiPlIiq ~ D
,BY~
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
IS- J-J- <i>
SCHEDULED ~-2 ~
F! 5. h. ~ 1"1 ,.,-- /2d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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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 FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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.Jf WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:..w 4-)- 0 l Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl