HomeMy WebLinkAboutMECHANICAL 07-0504
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
4qrt;
DATE TIME
SCHEDULED C, 2-{) c%
~dt; ~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH F~AL/
df/{'
1/ / --
7- S-ay'
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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JijJWORK SATISFACTORY, PROCEED
rj CORRECT ACTION AND~ED
~ F~ REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
lNSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
& _ /7 ti 7
t. Pink File
2. Green City
3. Yellow Applicant
I PERMIT NO. 67. 0 ~V/r
I
ZONING (office use)
(Please type or print and si~n at bottom)
ADDRESS
L/9f30
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
C R~){,-
~~~5Sl2-\)
(Phone) (;JA}839- SYt'l
ClsDWO'-')88
(Address)
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT SIGNATURE
DATE
A~LICANT PLEASE ~MPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
(Phone)
j I
tj /'l/ D')
(Contact Person)
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
DWarm Air Plants
~~J ___
(~Chanical --....
~ i~ ~onditioning --->
.. uystem
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
3?~(.>
$
$
$
.50
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't)ffice Use Only)
Buildinl! Official
Date
Paid AJ"l /1 J
~v. (, l"
Date C _/ 'f t' 7
Rece~t No. .!J7jo l- 1
ByA
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'his Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372