HomeMy WebLinkAboutMechanical Permit #08-0078 �AT � TIME
CITY OF PRIOR LAKE J��
INSPECTION NOTICE SCHEDULED
ADDRESS � � ' t �� � S � � " �
OWNER CONTR.
PHONE NO. PERMIT NO. ��� L.i � 6 /�
0 FOOTING 0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ��FIREPLACE FINAL
❑ FINAL � PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL �
COMMENTS:
�'` -� �.�2 � l'J � ' �'
❑ WORK SATISFACTORY, PROCEED
p CORRECT hCT10N AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector ;' ;' OwnedContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL KEALTH & SAFETY!
1NSNOT7
�F P R 1��
CITY OF PRIOR LAKE Date Rec'd
� D� HEATING/AIR CONDITIONING/FIREPLACE PERMIT Z� D�
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1. Pinl File pERMIT NO�� O��
2. Green CiN
3. Yellow Applicant �
Please e or 'nt and si at bottom
ADDRESS � . / ZONING (oe'ice use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER • /
(Name) V S (Phone) � � �. —� � J�' � � LO
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(Address) � SS �-'�" • s'� ri C�. �IV� 'J��'
APPLICANT n
(Name) (Phone) � �J ��I c�- " "I �--� �
(Address) O �� � S
(Address) (Ciry) (Zip Code)
(Contact Person) � L (Phone) � S a- ^ ��... — � �'�"�
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑ REPLACEMENT ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FL.UE 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
❑Gravit into Required Side Yard Setbacks.
y ❑ Hot Water
❑ Mechanical ❑ Radiation
❑Air Conditioning ❑ Special Devices Fireplaces with Box Additions or
❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL ✓�
FEE SCHEDU �,�
[ndush-ial, Commercial & Multi-Family 1%of job cost esidential, Gas Fire 1 �$39-58+
$39.50 minimum
Residential, Heating & A/C (New Construction) $99.50 Residential, Additions & Alterations $39.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $ �' � ��
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $��('� . (,,'C�
�ot�re u� o��y>
This Application Becomes Your Building Permit When Approved Paidj�� O� Receip
�
Date By
Building Ofticial Date
24 hour notice for all inspections (952) 447-985Q fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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