HomeMy WebLinkAboutMechanical Permit 09-0183
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4loOl
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~
Over tt~ [)---/
CONTR.
PERMIT NO.
crt \. f ~3'
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
.l!'!CMECH FINAL
1J.c- J- f()~l
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
^ I 1/) r I
{ 'j (f;R -rvLQ t.r "p
--" - \J
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~C 0 K, CALL FOR REINSPECTION BEFORE COVERING
Inspector I t\ Owner/Contr:
CAL ~-9~5o.JR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec' d
(Please type or print and sien at bottom)
ADDRESS
'-\ '.p() I (J \I ~,...\O~ ~ ~I'"'.
~. ~:~~:w J!~icant I PERMIT NO. 09. 0/83 j
s~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER ...-.-. ....L
(Name) ~ ,,~~\ <.. '" ~ <'\ ,-,\s \ ()
(Address) 4 \o~ I () \J \- \ OtJ\c.... ~ r. ~ t
(Phone) ~ t;'),; 1 '1~~'"3 -7
APPLICANT \ . '^- \ _
(Name) ("\^ \" .-~. ". 1 ,. \ n ~
(Address) \ \0 9 ~ ~ \.j ~ \ \..L).~ l'\ \J l.
. (Phone) ~ ~ d . ~J \4 '1 - Q \ c~
r r \ ~ - \ ~,~ s' $ 's'l )..
(City) (Zip Code)
(Phone) <i ~ ~.'^ ,,, - ~ \ ) ~
~ DATE \ - ~ ~ - (\
(Address)
(Contact Person) N '"'\ '" (. '\
APPLICANT SIGNATURE ........-./\"\. ..~.
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION N'REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL D!'" c:.....~\-.~5 5CA V ~ '-'d -Z) ~ ~ FUEL A) G,-t.
FLUE SIZE RETURN ~PENI~GS INPUT ~ ~ , CS~~ OUTPUT lS. 0-00
TYPE OF SYSTEM
~Wann Air Plants
. ::JGravity
o Mechanical
~ir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
o Hot Water
o Radiation
D Special Devices
o 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
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$49.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$49.50
$49.50
Estimated Cost $ \,p )' 6 ~ ~
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ \.1 '\ S \\
$ .50
$ S() ~
(Office Use Only)
Buildin!! Official
Date
Paid .5b. U7J
Date 4-. 2-7.07
. RecfiNo. 577.50
By;'"
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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