HomeMy WebLinkAboutMechanical Permit #09-1042 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 1'� �
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OWNER CONTR.
PHONE NO. PERMIT NO. C�� �'�� ��
O FOOTING 0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP �IREPLACE FINAL
❑ FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL ❑
COMMENTS:
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❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector: ,. . ;R',y �-w�� OwnedContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
WSNOTI
�� pRI �� CITY OF PRIOR LAKE Date Rec'd
� D � HEATING/AIR CONDITIONING/FIREPLACE PERMIT .
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3. Yellow Applicant i� T
Please e or rint and ' at bottom
ADDRESS ZONING (ot�ce use)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
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Phone
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Name ,�'�(/�
(Address) `� i � � � �
(Address) (City) (Zip Code)
(Contact Person) ��� ' (Phone) ��2. `� � Z-�'J��a
APPLICANT SIGNATURE DATE ���� J� O�
APPLICANT PLEASE COMPLETE BELOW
�� � ;� ( aCe ❑NEW CONSTRUCTION REPLACEMENT ❑ ALTERATIONS
3�[��AA�MAKE AND MODEL ���� � t—ttC�� � G y�� FUEL �
FLUE SIZE RETURN OPENINGS INPUT OUTPUT (/ GY, �/
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑ Wann Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation
❑Air Conditioning ❑ Special Devices Fireplaces with Box Additions or
❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
O � ' � Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job wst Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Addirions 8c Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ � Building Permit #
HEATING PERMIT FEE $ -
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STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ • � -- - -
(Office Use Only) I :
This Application Becomes Your Building Permit When Approved Paid �� �ti, ipt No. ��3`�
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Date �Z •LZ , U
Building Official Date � '
24 hour notice for all inspections (952) 447-9850, fax (952) 447-424