HomeMy WebLinkAboutMechanical 99-0994
III1,Jr~"'II""n "VII"'':
-~ ,- ~SCHEDULED
ADDRESS
Lf~ol LoiorG Jc)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PER~IT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ME~AI
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o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ I /
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-
J;VWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ,!1IY1 ~ ~ 7 --If) Owner/Contr:
CALL 447-9850 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
.-
~lease tvoc:. OTVrint and sign at bottom)
ADDRE4~ 0 l
Co 10-( oJo st-
Sf
LEGAL DESCRIPTION (office use only)
LOT
'A.
ISre..--Lte
BLOCK
ADDITION
OWNER
(Name)
~n
(Address)
APPLICANT
(Name)
Date Rec'd
~.~, ~:~ I PERMIT NO'03 ,,- oa1/
3_ Yellow Applicant -, - / 17
ZONING (office use)
PID J5~ W{- / lA--C'
(Phone) Oc;Z-((Ljo -5J7f
(Phone)
t" ~ 0 ^/,.. In"
BurnsVI1I8 n'='a "'::J "" ' -,
(Address) 12481 Rhode Island Ave. So.
Savage, IVII" ~AidJ.y;)1 ~.:2
(Contact Person) .JLLL\ L 1 I~ /1 .
A.PPLICANT SIGNATURE (JiJiu (1 ~~
V
APPLICANT PLEA~E COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
(City)Q 52 -g9''' ppCode) ) c::::-
(Phone) / , y- O():J.--./
DATE 7 /;;(::<.10 ~
INPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
OGravity I ~ 0 Hot Water
o Mechanical v I {D Radiation
cge,.ir Conditioning I 2 ,/\ [C02'1 0 Special Devices
OVen!. System '.J ~ (D -N 0 Other DeVIces
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50 00
Estimated Cost $ ~ : ~ Cf) ,
Industrial, Commercial & Multi-Family
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Permit #
') q I 5f)
.50
tlV/rJD
I paidLfo-
I Date
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
flee Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$
$
$
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Recei~g-7 S-
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