HomeMy WebLinkAboutMECH 08-0221
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ILl} J I
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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~. . to 16~
SCHEDULED
~~
TIME
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CONTR.
PERMIT NO.
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o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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;;( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORKIjALL FOR REINSPECTION BEFORE COVERING
Inspector: 7 \~ Owner/Contr:
i\~
CALL 447~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec' d
(Please type or print and si2n at bottom)
~. ~~~n ~;;y I PERMIT NO. 0('1.0 ?.,/
3. Yellow Applicant 0 ~
ADDRESS
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
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(Phone) /0/ J. ...3;;", r9 3 ~
OWNER
(Name)
APPLICANT
(Name)
HJRNSVILLE HEATING & AlG, INC.
j4~ -I vv, 8urnsviiie i3arkway
Suite 120
r Burn~ltertMN 55337
(Contact Person) ..J IA.. S L.~ ( "
APPLICANT SIGNATURE r'JtLJ'/Lu
(Phone) q S-J S '7 i tJ 00 [-
(Address)
f'
JP-.~
(Phone)
(City) (Zip Code)
q S- d- (f'7'1- 000 I'-
'-/ /~~/{) Fr'
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~EPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL L e //} y] t/)C C 6 IV .3 b t3 ^- (F) f FUEL A/ 1,1 /1;;1"
FLUE SIZE RETURN OPENINGS INPUT ~ ~) OUTPUT SY' 000
OWarm Air Plants
DGravity
~echanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
D Radiation
o 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.
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
~'
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
~ VC; :l-O
~
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 4-9 .!JU
$.....- ~
~rSV'~
Buildinl! Official
Date
Paid 4q .!fJ U
Date4-.](). Or
()
Reel1 No.
B>}
()
5?;7t; 7
,
'ffice Use Only)
This 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