HomeMy WebLinkAboutMech Permit 02-0491
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'(
~,6~:n ~~~y PERMIT NO'/'l.1 -OLf9/
) Yellow Applicant UO\
(Please type or orint and sil!,I1 at bottom)
ADDRESS
eJ'J4 3 Sp-i~) \ r\~e-. ~d. '::LU
ZONING (office use)
1\ ISD
LEGAL DESCRlPTION (office use only)
LOT BLOCK ADDITION~~~ ~/)<hJow0 PID),r;-i)3-07t(-O
OWNER .
(Name) ,a \ i ~L- ~ \ d-LLH I"! (Phone) Qf\,:;} -L\L\ 7 - ~ L\Lo
Opri\\J LQ\\e- ~d. S~
Wohlers Southside Htg. & Air., Inc.
6950 W. 146th St., #106
Apple Valley, MN 55124
(952) 431-7099
(Address) d7LJ'~
APPLICANT
(Name)
(Address)
(Address)
(Contact Person) l::>CL.n ~ \ -E( S
APPLICANT SIGNATURE ~I /J !l.~
I
,p Code)
(Phone)
Q,s~-L\3'-/b1q
~ - ~D-O)
DATE
APPLICANT PLEASE COMPLETE BELOW
Ct::t:::t::" c.. o-l t.. DNEW CONSTRUCTION 0 REPLACEMENT ,.-{TAL TERA TrONS
i'UR~IACE MAKE AND MODEL CClfr\er : .:)g Ti.-A- Od-.Y W --+-Df"I ') FUEL
)( 'b~'Pp\ ies J t re tuY~
FLU'!: SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
; OGravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
/,'
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum ~
$99,50 ( Residential, AdditiQIl<: lit A It"r.\tinv~
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $ 1 \ ro -:-
I
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PE~V1IT FEE
$
$
$
.~q.50
.50
40. CO
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid j Ii ~
"";0/
Date i' "'7-0 ;3
Building Official
Date
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
~
$39.50
Receipt No. ...l, J
, '-I d... OU~
BY~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
LI-/-o>
ADDRESS
J- 74 ~ 5' //r(....~ ~Iu V2d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
I.'.~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.-.::--
.
COMMENTS:
A- t Vvt r'-r 1-4f1/
I //(\r, C/_
___________ '-- I V ... ~ \. '""'-
-~
~
/
~
, WORK SATISFACTORY, PROCEED
d CORRECT ACTION AND PROCEED
o CORRE~/NORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: r ( L...{ -1- tJ;; Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI