HomeMy WebLinkAboutMech Permit 04-0550
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCH~DULED
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ADDRESS
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'~ER
CONTR.
. . .ONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o ..!IREPLACE FINAL
, GASLlNE AIR TST
o
COMMENTS:
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1 ~51-
OIC
~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 7n~OR REINSPECTION BEFORE COVERING
Inspector: -lY /" Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/lflKEPLALE PERMIT
J/j/trJ Rec'd
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~: ~~ ~:~ . PERMIt NOe64-. 0550
3. Yellow Applicant .
e type or print and sign at bottom)
. .~D31q1mt -!ill j()). (luJ
LEGAL DESCRIPTION (office use only)
LOT q BLOCK (:J. ADDITION W LIVe; /f){lII/;1/ Is-r
. ZONING (office use)
PID zb: 31cP. 0/3.0
(phone) qrj;{ fIWJ-U,;;3
mn
~r:.;~~ANTf!J(J1l/ IOJal1J (phone) UPf/- 4;J.3-/t1-<J-
(Address) 11716 J RJhf;eJ TId. RoJ(jJ71JvAl mn qJI)///cP
() 1 (A~qress) L' ,. (City) (Zip Code)
(Contact Person) {:h Jet'J 17 m/(<s. (Phone) (6;--4;;<'3-,1/11-1--
APPLICANTSIG~ATURE ---f{,LJ~) *~~ DATE IO,/L!/IJ<-I
APPU~ANTPLEASECOMPLETEBEL9W/iftSM,/( qat /jl11!- iv
ONEWCONS1RUCTION o REPLACEMENT .# ):LlhKATIONg--' j~,
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
rg.V;:R UJ II fr& JDt1t(J~
(Address) J' ~ . (J/2{p}2 fA/!L
TYPE OF SYSTEM
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & NC (New Construction)
Residential, Heating'-Only (New Construction)
Estimated Cost $
Building Permit # ()4.o5tJO
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERlVul FEE
$ ~.5D
$ .. .50
$ LI(). fX)
~()ffice Use Only)
s Application Becomes Your Building Permit When Approved
Paid 40.00
Date (p. /0 .O~
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encro.ach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt NCZI~9f}tJ
By i .
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