HomeMy WebLinkAboutMechanical Permit #01-1018
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CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
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I. Pink
2. Green
3. Yellow
File
City
Applicant
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PERMIT NO.O / - / (ff8
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ZONI#r(office use)
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(Please type or print and sifPl at bottom)
ADDRESS J 41;)5 4-h'cfdu-, I; etv LA;
LEGAL DESCRIPTION (office use only)
LOT f-'BLOCK Z- ADDITION H1oo~f\/ II/~
PID 25-- 2fl/- tJ /2--0
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~~~R LOm ~ ~ (Phone) q-s 2 ~ tLt/5 -;27;< 1
(Address) IL{-/~S-- I-hddlrt l/ieA~v ~AJ
A(NPPamLIeC) ANT-A 'r.. . ' _I · (0.J.. VJ PI A h ) A.
~ ~~ lJ~LM JL./ (Phone) ~,RqtJ'-{)fS T)
(AddreSS)Ji6. 3Brv' \I\J~ &Y' L3 !bM-hSvi/lt f},Aj ~S337
(Address) (City) (Zip Code)
(Contact Person) Y11J Ai5SV\..-.I 17 / (phone) q"i)..~BoB-,;)()-iJ
APPLICANTSIGNATU~EC~J~I_ ~ DATE 9-13-6/
APPLICANT PLEASE COMPLETE BE~OW
DNEW CONSTRUCTION D REPLACEMENT ~L TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants D Steam
o Gravity 0 Hot Water
o Mechanical 0 Radiation
DAir Conditioning D Special Devices
DVent. System J J. 0 Other Devices
FIREPLACE MAKE AND MODEL --H.J..1- ~ 0 -A1--SU-P-ltJtl..f..../
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
$39.50
$39.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
_~q '3Q
I ,50
Lf(} w()O
paid4/). c(2)
. Date 9-17"0 /
Receir;Y);'LjtJ58 ()
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(Office Use Only)
This App.1i ati n ~ our Building Permit When Approved
q, (1"0 (
ui ing Official . Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
f .zcl.o I A- ,T .
ADDRESS
/ ~/ z..5 #/006A11116W
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I-lOtS F:P.
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
~ GASLlNE AIR TST
~S M:&T(gIP_
. COMMENTS: /lu-I
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2-~ n- ~
)6')WORK SATISFACTORY, PROCEED
( D~ CORRECT ACTION AND PROCEED
o CORRECT W~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~:t:r J Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI