HomeMy WebLinkAboutMechanical Permit 03-0409
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ADDRESS
CITY OF PRIOR LAKE S"
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 5/03
Date Rec'd
f ~ 'l~tI3
~3-0J45
~:~ I PERMIT NO. (j3-04-0'1
Apphcant
/5 ~ 7'1
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ZONING (ollk,u",)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZ'5-a3'&- (1(/1- 0
OWNER
(Name)
(phone)
(Address)
APPLICANT
(Name) Gti1VG5/.S
(Address) /502-1 l"1~ht// mt/ ,eL). P V.
(Address) (CIty)
/' -4PPLICANT SIGNATURE / ) DATE
-A; ICANT PL~~ETE BELOW
n"Tl'W rONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACI REQUEST FOR FINAL FUEL
FLUE SIZ INSPECTION SENT TO INPUT OUTPUT
HOMEOWNER 11/03 HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
(Phone)
#7 - 37{;.2-
#7 - Zy :to
(Zip Code)
4,9-t'.3
OGravity
o Mechanical
OAir Conditioning
_____ OVen!. System
C~REPLACE~~MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Estimated Cost $
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Permit # 0:3 - 0 if-O'
$39.50
$39.50
$39.50
Industrial. Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
r---
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 39.5V
$ .50
$ 4-0.01.1
Ice Use Only)
- This AppllcaJt~n~eJres Your Building Permit When Approved
([A)/I{J/ 4- -11 r6)
Building Official Date'
24 hour notice for alllnspectioDS (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Paid""
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Date
k .1-0 ')
ReceiPt:37''' 1
By .f.
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I~ 7'j
~~.,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
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0;..
~ ~C/tI1
o EXIGRAD/FILLING
o COMPLAINT
o ~LACE RI
~IREPLACE FINAL
o GAS LINE AIR TST
o
1'1 ~ _____
/ V ~ l'lcr ~S--S - I'h ~.l ).d.t::Sf
o I
(h~~
/
/
/'
/
~ WORK SATISFACTORY, PROCEED
o CORREC ACTION AND PROCEED
o COR CT 0 CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
9~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C L
'--'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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