HomeMy WebLinkAboutMechanical Permit #08-0274 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �� �
ADDRESS ��� � � �� W �" � � �� � C
OWNER CONTR.
PHONE NO. PERMIT NO. �? �— C� Z� �
O FOOTING � PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
O FINAL ❑ LUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION �ECH FINAL ❑
COMMENTS:
� �-�( _ � ✓� �.i.�'
�
�Y11 OR�C SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ 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 REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
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CITY OF PRIOR LAKE Date Rec'd
� �� HEATING/AIR CONDITIONING/FIREPLACE PERMIT �, Zo . U�
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r �'NBS��
Z: �, �;�. PERMIT NO. /
3. Yellow Applicmt �� • v Z
tBSt Ot 8� S SY �lOt[011l
ADDRESS ZONING (office �>
�l��l� �o`w.� ������ �'�
LEGAL DESCRIPIZON (og'ice use oniy)
LOT BLOCK ADDTTION PID
OWNER ` ��/
(Name) � �� (Phone) ���✓ / '��� �
(Address) � � ,
� PI.ICANT / Y (�, (Phone) !V � �f TC/ �
aane
(Address) � � <<►�7 L
(Addres (City) (Zip Code)
(Contact Pecson) �v <' hone
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APPLICANT SIGNATURE /! � ATE �S� '��JC)
�/ +Gc� '� t 4�' �"�'� APPLICANT PLEAS OMPLETE BELOW
�NEW CONSTRUCTION REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPEMNGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OB POWER PLANI'
pwarm Air risnrs p�E NOTE: Air Conditioaer
❑ S�� Units aBd Fjreplaces Cannot Eacroach
�Gravity ❑ Hot Water into Reqaired Side Yard Setbacka
❑ anical ❑ Radiati�
Conditionin8 •�(�- ❑ Special Devices Fireplaces wfrth Boz Additions br
ent. System � p�� �� Centblevers to tLe Oatside of Buildiags
Reqaire a Bn�ding Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Induslrial, Commercial & Multi-Family 1% of job cost Residemial, Gas Fireplace 549.50
549.50 minimnm
Residential, Heating & A/C (New Conshuction) 5149.50 Residential, Addi6ons 8c Altsrations 549.50
Residenfial, Heating Only (New Conshuction) 564.50 Residential, AC Only 549.50
Estimated Cost $ � ���� Building Permit #
HEATING PERMIT FEE $ � � � � �
STATE SURCHARGE $ 50
TOTAL PERMIT FEE $ , ��
(ot6ce use only)
This Ap eco nes Yonr Bailding Permit en roved Paid R ip o.
� • ��• � � �7
� � 20 0 c� Date� Z v �� B
Baildi� Of6cirl Dabe � •
24 6our notice for aU insp�tions (952) 447-9850, fu (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minne�tn 55372