HomeMy WebLinkAboutMECH 08-0695
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 6(P~cn
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
~
Y\~ Ir>
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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DATE TIME
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o EX/GRAD/FILLING
o COMPLAINT
,B""FIREPLACE RI
o FIREPLACE FINAL
,a-GASLlNE AIR TST
o
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o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRE[2~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: I) Owner/Contr:
----
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;e~n ~~:~v I PERMIT NO. &... ,..v-1
3. Yellow Applicant ~ 1
(Please type or print and sij.tll at bottom)
ADDRESS
(; Gt& <? f\I\ a {} es I rc~; I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
13; II
S'0(;~
~hOE>_ Vl
/);1 Cl u eS
k~
IhQ?t~ (
(Phone)
OWNER
(Name)
APPLICAN;T J I ( I ~
(Name) J..... .(); J1 rt e t:(-f lit 9 (Phone) (; J ,- J 66 -"5 q ~ tf
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(Address) "-3 ~ ~J.. ~"'0~A},,,, Sf- ~c~ 4(~lr h~)/I1ft :S-S-3')2-
/(Address) (j - (City)' (Zip Code)
(Contact Person) ~ "at! ~:t1j/1 (Phone) lQ/J.. -3~ -~Lj 5L/
. APPLICANT SIGNATURE -t!v7~W? f/1[ DATE "/?~~_3; ,~~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices ~f,~h ~
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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49,50 minimum
$149,50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$49,50
Industrial, Commercial & Multi-Family
$49,50
$49,50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
~".OO
BnHoling ~h Wh,n Appmvod
/ Date
Paid 50, 00
I Date 9. 3 , 0 &
Receipt No,~ 78 /
BYfb
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372