HomeMy WebLinkAboutMechanical Permit 04-1235
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DATE
ADDRESS
TIME
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-3',2/ 0 ~~~1 I- -Sf' ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
09"- /;z..?S"/
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
~CH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMME~TS:
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% WORK SATISFACTORY, PROCEED
/~ORRECT ACTION AND PROCEED
o CORRECT ~d /d~ REINSPECTION BEFORE COVERING
Inspector: /' t/~ r Owner/Conlr:
CALL 447.9950 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I;:" ,/1. rd--
I. Pink
2. Green
3, Yellow
~:;y I PERMIT NO.(;A /'77,51
Applicant c.r- ~ c-....;;J:..=J I
~ase type or print and sign at bottom)
I ADDRESS
32/0 /CeNT AVENUE:'
ZONING (offi" u,,)
;re/SD
LEGAL DESCRIPTION (office use onty)
LOT
BLOCK
ADDITION
pm 25. 133.0 ZZ.u
(Address)
T ~ O"'i
3~IO
CMON
K E7'I r A-v'I:,
(PhonelCf5~) Lj~ 1- Lf"Y'l ~
OWNER
(Name)
. APPLICANT. I II. _. 8
; ( (Name) HI Lf>l ft<. (" rrE'l'TTJ H G ')((Phone) f) 01 33 Lj - 09'
,
I4CQ,<v-/ T{{A1L F4r<I6<J..vL't" 550=>--1
(Address) (City) (Zip Code)
: ((Contact Person) J,M I-t,LPIFR,r (Phone) 56, 3,34-oQ,S
)~APPLICANT SIGNATURE /I J J.J.-. XDATE 1)..- 15-04
-b~D
'}t APPLICANT PLEASE COMPLETE BELOW
DNEW eO'NSTRUCTION & REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
, ((Address)
11150
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWafIn Air Plants
OGravity
o Mechanical
DAir Conditioning
OVen!. System
o Steam
gHot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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 # 04-, I z3S-
$39.50
Industrial. Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3q 50
$ .50
$ +0. 00
(Office Use Only)
'his Application Becomes Your Bnilding Permit When Approved
Building Official
Date
IPai~,W
I Date
/Z./7 () ~
Receipt NO'4-a {,tI+-
,BY 4Uff
/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372