HomeMy WebLinkAboutMechanical Permit 04-0623
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~: [~~w Jl~icant I PERMIT NO. 0 '1- G ~
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3266 WOODDUCK ~_..
ZONING (office use)
LEGAL DESCRIPTION (office use only) /, )4/;1;/) .~tJ
LOT /'( BLOCK / ADDITION I ~0 0
OWNER
(Name MASTERCRAFT
PIDc;?S- :3 :r? - 0/,17- Q
(Phone)
(Address)
APPLICANT
(Name) ATJ.TF.DFTRRSTDR DRA FIRESTDE HFAR'fH & HOMR
(Phone)
Ii'il-li'l'l-?'itil
(Address)
?700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVIT T F
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
,-
BRFNDA HUSTON
DATE
1i/9/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW 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
OWarm Air Plants
OGravity
D Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND.MODEL
HEAT N GLO SL-550TR-D
Residential. Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99, SO
$64,50
$39,50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39,50
$39,50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
.--lOffice Use Only)
'his Application Becomes Your Building Permit When Approved
Buildine Official
Date
I paidL/d._
I Datt::, - ;}- :;--4
Receipt Noz:.-t' b fg Yl
By r: I
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 1-1<1-04
ADDRESS ~~!tl~
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PHONE NO.
PERMIT NO.
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OWNER
CONTR.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: L. L . R J:.-.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o EXIGRADIFILLING
o COMPLAINT
~FIREPLACE RI
o FIREPLACE FINAL
jil GASLIIIC; AIR TST
o t='~
,
. 01. ...i~t- S~ ~
.&r- do a/~k.
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)( CORRECZ'Yf. CALL FOR REINSPECTION BEFORE COVERING
Inspector: " '-; OWnerlContr:
CALL 7-~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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