HomeMy WebLinkAboutMechanical Permit 04-0065
CITY OF PRIOR LAKE
HEA TINC' A TU ("'flNoTTTflNTNr-mTuTi'pLACE PERMIT
Date Rec'd
~ase ~ or orint and sil!Il at bottom)
ADDRESS
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-05
~ ~:~ I PERMIT NO./JtI -- 151
Yellow Apphcanl . cP
It/OIL! -MkUt~d ~
ZONING (office use)
LEGAL DESCRIP'TION (office use only)
LOT / BLOCK;;< ADDITION /m-LlJ.Lf ~
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PIDdS- 3L/3-Dlb-()
g.W;:~R./..fhJ7k v-7cdcllJ:JU1f
(phone) f5;"- 233- 21.-8 J
(Address)
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
"-------
(Contact Person) .
APPLICANT SIGNATU~1/U#1 t(;c~
I.f I
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(phone)
DATE
!Jd 3 J(/
TYPE OF SYSTEM
oWann Air Plants
oGravity
o Mechanical
oAir Conditioning
oVent. System
FIREPLACE MAKE AND MODEL ~ M
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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
$39.50
Residential, Heating & NC (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39,50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
31'- 5'()
.50
/-IlL -
~__(omce Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Paid '-!{J" --
I DateO? J 3-0 ((
, ReCqstt ~
Byq
U
24 hour notice for all inspections (952) 447.9850. fax (952) 447.4245
16200 Eagle Creek Avenue. Prior Lake. MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/</l'JlcJ J?!tJ~,b,rJ
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR,
PERMIT NO.
o PLUMBING RI
[J MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
3/t 710r
, ,
tj - (~
o EXIGRADIFILLING
o COMPLAINT
~~
o
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roRK SATISFACTORY, PROCEED
o CORRECT ~TlON AND PROCEED
o CORR~"fRK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner!Contr.
CALL!~ ,-;;J FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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