HomeMy WebLinkAboutMechanical Permit #08-0053 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �� I� V
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ADDRESS �, tir� a �� f / ►'�'' �4 ! .�_ r .
OWNER CONTR.
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PHONE NO. PERMIT NO. (� �' v C � -� � _
O FOOTING � PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEYVER HOOKUP �IREPLACE FINAL
❑ FINAL 4 C�PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION �l MECH FINAI. ❑
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COMMENTS:
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❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: - Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTI
D E TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �� ZS�
ADDRESS
� S I�'►1 � �'7'�- i�1,/�-c v
OWNER CONTR.
PHONE NO. PERMIT NO. �''"� ' ��
❑ FOOTING � PLUMBING RI ❑ EXIGRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP �F�REPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL .�-GASLINE AIR TSTJ_��
❑ SITE INSPECTION ❑ MECH FINAL �
, �i 4, � � , �;3
COMMENTS: ��.�. �. � � � '�`�'� °''`
D WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. OwnedContr.
CALL 447-9850 FOR TNE NEXT INSPECTION 24 NOURS !N AD___,_ YANCE•
C.°UOF REQUIREMENTSARE FOR YOUR P�'RSONAL HEALTH & SAFETYJ
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CITY OF PRIOR LAKE Date Rec'd
� D � HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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C'
r �'NES ° �
1. Pink File pERMIT NO /',�j /�,
2. Grcen City •(�/ (� , V U�3
3. Yellow Applican[
Please or rint and si at bottom
ADDRESS ZONING (otTice use)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER�+�,_ )
(Name) V'"� Yl V � .�� �' �� l � 1 liL9 (Phone) C 1 ✓��`'�alo — l ��
(Address) ��-,�-� �'at/+—��c'�a-(" 1.
APPLICANT q
(1�Tame) �--�- � (Phone) � � �- .. 4L [{o— � - 7 (
(Address) � �� u _
A (Address) � (City) (Zip Code)
(Contact Person) � r3� (Phone) _P.� - �'�"�r
APPLICANT SIGNATUR DATE
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL �L
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation Fireplaces with Box Additions or
❑Air Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings
❑Vent. System ❑ Other Devices
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace .5
$49.50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $ � 9 �
STATE SURCtIARGE $ .50
TOTAL PERMIT �EE $ -��b �--
(Office Use Only) �
This Application Becomes Your Building Permit When Approved Paid �-�. U � Receip o. r ��
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Date t � j, o � By
Buildin$ Official Date '
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372