HomeMy WebLinkAboutMechanical Permit 01-0145
CITY OF PRIOR LAKE
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CITY OF PRIOR LAKE .
BEA TING/AIR CONDITIONINGlFlREPLACE PERMIT
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lease e or rinllS1d siQll at bottom)
ADDRESS 1
5 fj I $ Wood L~tJ
I. Pink File
2. Gt'Mft City
J. Yellaw .A.ppliaJlt
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OWNER
(Name)
J ItIY lc.\f
K PM>
\
I (Address) 5Y~rJ L/fvI,J
('1tclt
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({ .?>Il
(Phone)
LA't.t.
qS 2- '1'17 - 286
,J 5537l..
APPLICAJjI AASLI
(Na.me) IV/~. n
(Address) b 2:- y s
I
(Contact Person,: I
APPLICANT Sr }NATURE
JI~~j fr1{) ,.tt.{ u",f),"{1\~''f.IJ(PhOne) 7b')' - 536 - Dbb 7
~ M> l>fl.do~~!'Hi<.
(CIty) (Zip Code)
(phone) 11,3 -S3hf.Ob6..,
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DATE
TYPE OF SYSTEM
APPLICANT PLEASE COMPLETE BELOW
o REPLACEMENT 0 AL TERA TIONS
R(fOJo~LB /rI'1~h FUEL
~ ~ Yz.. ;,,) OUTPUT 30J 000
HEATINGORPO~R~ANT /
o Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation Cannot Encroach int~ '
o Special Devices Required Side Yard
o Other Devices Setbacks
DNEW CONSTRUCTION
FURNACE MAl ~ AND.MODEL ~lA,rf).~
FLUE SIZE RETIlRN OPENINGS
I.
. DWann Air Plants
OGravity
o Mechanical
~Air Conditioning
DVent. System
I FIREPLACE MJ~, CE AND MODEL'
Industrial, Comm.l. iat &. Multi-Family
I I
Residential, Heatin,: & Ale (New Construction)
Residential, Heatin!' Only (New Construction)
I
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Additions & Alterations
Residential. AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3<1.}~
$ .50
$ c.j()(U{)
~. 27. () /
Dart
me~ Your Building Permit When Approved
:14 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED :3 .-7,,-3 /F/-
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ADDRESS
OWNER
CONTR.
0/- 1t/5
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
1:ESULA TION 11 /r' ~ 0 SEWER HOOKUP
FINAL / T ILL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
{) 05~
F-, fL
)! WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK ALL FOR REINSPECTION BEFORE COVERING
- 7~ ~~
.5 . Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl