HomeMy WebLinkAboutMechanical Permit #08-0015 DATE TIME
CITY OF PRIOR LAKE gCHEDULED ���
INSPECTION NOTICE
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ADDRESS ,
OWNER CONTR.
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PHONE NO. PERMIT N0. �--
� FOOTING ❑ PLUMBING RI ❑ FJUGRADlFILLING
❑ FOUNDATION
❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP �REPLACE FINAL
❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ FINAL p
❑ SITE INSPECTION ❑ MECH FINAL
COMMENTS: ' t
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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!
lNSNOTI
DATE TIME
CITY OF PRIOR LAKE SCHEDULED ��(`�� �
INSPECTION NOTICE �— �—
ADDRESS I �o l'� I / '` ° � l ��
OWNER
, CONTR.
PHONE NO.
PERMIT NO. �= �'Sr_��,
p PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOOTING ❑ MECH RI ❑ C MPLAINT
❑ FOUNDATION �REp�ACE RI
❑ FRAMING ❑ WATER HOOKUP
O SEWER HOOKUP ❑ FIREPLACE FINAL
❑ INSULATION p pLUMBING FINAL �GASLINE AIR TST
❑ FINAL ❑ MECH FINAL �
p SITE INSPECTION
COMMENTS:
� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PR CEED
❑ CORRECT WO K, CA R REINSPECTIfJN BEFORE COYERING
Inspector: 1/ OwnerlContr:
CALL 447-9850 FOR TME NEXT WSPECTIQN 24 HOURS iN ElD__ VANGE•
CODE REQUI�EMENTSARE FOR YO(1R PERS/JI�'AL HE`4I'TN &:CAFETY!
1NSNOTt
�F pR�O� CITY OF PRIOR LAKE Date Rec'd
� D 9 HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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M ��'NESO� P 1. Pink File
2. Green City PERMIT NO .O��, �1n/�
3. Yellow Applicant ���
lease e or rint and si n at bottom
ADDRESS ZONING (oflFce use)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER � � C,1/� � CQ � t _ � �i4 ' I � 7�
(Name) C� � t (Phone)
(Address) (�Q. � � � �C� �c,�� V`�U+2 J .
APPLICANT �'' o
(Name) I� � 2f2$ � Ct�. E� .LVI:e (Phone) ` 5 Z` 7 � 7' � ��-( �
(Address) g J'�{, �j �il� - ��b W (� 1 Ct�Ct 3 T8
(Ad� (Ci (Zip Code)
(Contact Person) Wl �(�,S �� (Phone) � J ` .'ZO D �' �Q �
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE fND MODEL jM� �� f� II3 CtD FUEL /Vly—
FLUE SIZE 7 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
❑Air Conditioning ❑ Special Devices Fireplaces with Bog Additions or
❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $39.50
$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 $ 'y/� S�d
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ _ Q, O�
�ot��e use o��y�
This Application Becomes Your Building Permit When Approved Paid �0, 00 Receipt No. 5S� Z�/
�� � O 0 Date By
T Buildina Official ate C� Q�
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372