HomeMy WebLinkAboutMechanical Permit 04-0033
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ADDRESS
t/5R9
DATE TIME
SCHEDULED 5-;q -0 d
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CONTR. C-/
1/- /0'1- L(- 33
PERMIT NO.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING 0 PLUMBING RI
[J FOUNDATION [J MECH RI
[J FRAMING [J WATER HOOKUP
[J INSULATION [J SEWER HOOKUP
[J FINAL [J PLUMBING FINAL
[J SITE INSPECTION /1 j [J MECH FINAL
COMMENTS: e-.eoll/d 1./ JL:tJl
o EXIGRADlFILLlNG
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLlNE AIR TST
[J
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[J WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
[J CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector.
Owner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION 21 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEllLTH & SAFETYI
t1<INOrl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/. z,,/, 04-'
q>IeIIe.. orllliDt lIIlI..athaallml
rAu~45~.'t
. REQUEST FOR FINAL
INSPECTION SENT TO
, HOMEOWNER 01-05 .
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LEGAL DllSCIUP'TlON (,.,.,...,
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(Add!ess) 3R:-<"""O l1J - \-l'1J I.. I~ (Jl1riftolJ,1k;, MhI. 55:17L
(AdtJtess~ (CIty) (Zip Code)
(Contact Person) ~.~ -\- P. (Phone) (t.~:J. -ft'O-t'J 2<:"
(""'PUCANTSIGNATURE \.....VJI~. . D~ 1/19r//1t/ q
LOT
BLOCK
Au......"ON
OWNllll
(Name)
{J f'l1L.&>,
(Add!ess)
~
FIREPLACE MAKE AND MODEL
INPUT
HEATING OR POWER PLANT
o Slo8II\. PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation Cannot Encroach into
o Special Devices Required Side Yard
o Other Devices S .4:." ~\.
f4f1pn-A llJ.-crlnJ;.aili~r7i""btJjr171f....:tPj.. .
PLEASE COMPLETE BEWW
o REPLACEMENT 0 ALTERATIONS
FUEL
OUTPUT
APPLIe
[]NEW CONSTRUCTION
FURNACE MAKE AND MODEL
FLUE SIZE RETURN OPENINGS
TYPE OF SYSTEM
OWann Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
FEE SCHEDULE
Industrial. Commercial & Multi-Family I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $
Building Pennit # O/f; ()03J
r
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ :39.SV
$ .50
$ if'O.U ()
. (Ome. v.. Ooly) .
Tbis Application Becomes Your Building Permit Wben Approved
BoUdiq Omeill
Dlk
IPai~.uJ
I Date
/. 'VI. 0 4--
Receipt ~ ~1-1
By cf'
24 bour notke foraD bu.., ..1 " (952) 447.!1850, fax (952) 447-4245
16200 EaaIe Creek A_ue, PrIor Lake, MN 55372
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