HomeMy WebLinkAboutMechanical Permit #01-1048
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlKEPLACE PERMIT
Date Rec'd
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1. Pink
2, Green
3. Yellow
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~~~, PERMIT NOe/?)..Iic.)I!.,"..:';ii'/rtAb.
Appltcant , v,.~~~' I C/'TC/ ,
ZQlNG (office use)
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(Please type or print and sign at bottom)
ADDRESS
334-8
NOOD O{) u:-
012-
LEGAL DESCRIPTION (office use only)
LOTZ3BLOCK I ADDITION W I LOS 3~
PID ZS -~7- 023-C,
OWNER
(Name)
(Phone)
(Address)
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(OT APPLICANT CL. . 11 j) I AI J.'^ A J _,-1 1>. #t/h.'J<'~
(Name) ~ r. itJL {J ~ !-Or;} IJ.Y'.//t f.il..WL [}Y'eQlf.&. (Phone) 'l>;l:(} q{J- ()? ~ I
(Address) 3f?~t1 f//~ f:-Il~~ I~ 13 .IlrAn.~! '//~/ )Hili r ~.J,33?
(Address) ~ (City) (Zip Code)
\ (Contact Person) f,(,'f ,4)1 ,.tv Ih'h S- (Phone) ?S-;l~j>-'?(J-07'?B
~PLICANTSIGNATURE J,)'1f,uJ~_1r;~",' DATE J'~/77 r :;qf/r, 4/
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants 0 Steam PLEASE NOTE:
o Gravity 0 Hot Water Air Conditioner Units
o Mechanical 0 Radiation Cannot Encroach into
DAir Conditioning 0 Special Devices Required Side Yard
DVent. System 0 Other Devices Setbacks
'AREPLACE MAKE AND MODEL ~ f- Y/!--6-/0 I @ClJ(J- ~()jAfY.l dryeJruur-tlClS h'r<tdi;rp
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FEE SCHEDULE
Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace $39.50
$39.50 minimum
Residential, Heating & AIC (New Construction) $99.50 Residential, Additions & Alterations $39.50
Residential, Heating Only (New Construction) $64,50 Residential, AC Only $39.50
Estimated Cost $
Building Permit # 0/- / O~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\tlll FEE
$ 3 9. 6-0
$ .50
$ 4tJ--OV
(Office Use Only)
.a.mes Your Building Permit When Approved
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Date
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Dat
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE
CITY OF PRIOR LAKE '1 I
INSPECTION NOTICE SCHEDULED I () - /-
ADDRESS ~ ~ 3 l/P - W"o del u/ _I<
TIME
/i/5
OWNER
CONTR.
PHONE NO.
PERMIT NO.
l-IOL(g'
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
1\ ..>Yf=IREPLACE RI
f'1 0 FIREPLACE FINAL..-p
f\ ~ASLlNE AIR TSrr j
COMMENTS:
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~/;) -.,
\
o P;AC-'n~P/
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~JRK, fjALL FOR REINSPECTION BEFORE COVERING
Inspector: h. tLAJl// Owner/Contr:
CALL 447_9850vFOR TJE NEXT INSPECTION 24 HOURS IN ADVANCE.
I
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl