HomeMy WebLinkAboutMech Permit 02-0542
CITY OF PRIOtl. LAKE
HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please tYPe or orint and sim at bottom)
ADDRESS
5(o~5 IrICLL)es lr- ~
I Pink File PERMIT NO !)
2, <keen City . / I') -c::/ J }
) Yellow Applicant c;I- <::::J '7 (;1"-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
;:).. d---
LO~ BLOCK ADDITION
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V
PIro5" - I h 5'.... tJ).~' C I
OWNER '
(Name) Ex i C .~ \ rnrllel
(Address)B.o3S mfll-re.s IX- S~
(Phone) qfk)-LJL/O -~7
APPLICANT
(Name)
Wohlers Southside Htg. & Air., Inc.
6950 W. 146th St., # 1 06
Apple Valley, MN 55124
(952) 431-7099
(Zip Code)
(Address)
(Address)
(Contact Person) 't:.t::Ln ~ \ e.r~ _
APPLICANT SIGNATURE __~ 1\. ~
, (Phone)
DATE
s- l5 - DJ.-
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRU~TION ~ REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL(h <<I ex I 5~ UHV cga-H,o FUEL ~ crtu-co...-L
FLUE SIZE RETURN OPENINGS INPUT ~, LDD OUTPUT Co~, r '1. ~
,
TYPE OF SYSTEM HEATING OR POWER PLANT
Q\e.-.,
rll\.cf'b\€E MAKE AND MODEL ~l I rl. .2 ~ ~: LLD__rn~CQ.Lj
OWarm Air Plants
I ' OGravity
S Mechanical
2lAir 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
II
FEE SCHEDULE
I % 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 & Ale (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ ~-,-
,
Building Penn it #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PElL\1IT FEE
$
$
$
3Q,5o
.50
Lj.Q~
(Office l'se Only)
This Application Becomes Your Building Permit When Approved
Date
P~tit' i (X)
Date;::: 71 A
d -- A/..U - ()cr
. Receipt No.
Building Official
By Q<::/'
V
~'"
~...
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
<'*-(~
TIME ','
SCHEDULED
LI-I tJJ
ADDRESS
. C1& 3.$
fl.1&'v;;~
OWNER
CONTR.
PHONE NO.
,:) -.5L/Y
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
t::"V' '1 4iA
I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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Ac!c1
L (.)M }1661-17Y1.
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: JIl;{ 4 ""l 0, tf], Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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