HomeMy WebLinkAboutMechanical 03-1201
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
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SCHEDULED
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXJGRADIFILLING
4- 0 COMPLAINT
FIREPLACE RI
~ FIREPLACE FINAL
A J7GASlINE ~IR TST
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COMMENTS:
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INVIOTl
- --.-- ..,.--- --.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
9,/O.(}Y
; i:.:' ~::y I PERMIT NO. tJ.?-/W I
3_ Yellow Apphcant
(Phone)
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(City)
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ll'lease tvDe or 'Orint and si2l1 at bottom)
I ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT G" BLOCK / ADDITION 7 TJ-I/I?)/)AI A/. .rflOlZ6 (}/'rj../
OWNER
(Name)
(Phone)
(Address)
APPLICANTArJ. I _ I A' , r1 '7""
(Name) tN/-tJI c.u.R ft-r I-- .,.- n T'<.. ........ c:.
67 z + K,'t11-51-Dn Dr. '
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(Address)
(Contact Person)
(Phone)
DATE
APPLICANT SIGNATURE
ZONING (office use)
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PID z.-r-: :sefO. 005', C
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6 'J{J~.r-
(Zip Code)
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
INPUT
HEATING OR POWER PLANT
o Sleam
o Hot Water
o Radiation
o Special Devices
o Other Devices
TYPE OF SYSTEM
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DWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
DVent. System
~PLAC~KE AND MODEL
--..
Industrial, Commercial & Multi.Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residenlial, AC Only
Building Penn it # 01- /2.0 I
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3Q.50
$ .50
$ 4'0. OV
'fIice Use Only)
ihis Application Becomes Your Building Permit When Approved
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Building Official
Date
24 hour nolic. for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
1
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50 .
$39.50
Receipt No.
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