HomeMy WebLinkAboutMech Permit 04-0127
CITY OF PRIOR LAKE
HEA TINe I A TD rONnTTTONINGIFIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
(PleasetYPeorprintandsignatLu.....~) HOMEOWNER 01-05
ADDRESS
5937 eGlJg/2.-V\/(JoD ST.
Date Rec'd
~./o (0'1-
~ ~!~ PERMIT NO. o+~ 0/7 '71
{ellow Applicant . ~_
ZONING (office use)
~US.o
LEGAL DESCRLJ:' lION (office use only)
LOT 100LOCK ~ADDITION
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OWNER
(Name)
(Phone)
(Address)
APPLIC~ \ ~J /J. / C' f. / ", ~ /~I
(Name) ~~ ~ (Phone) /.id-yt:/r3<032>
(AddreSS)~~~~ r l?x6~d S:>s?/
(Address) . (City) - (Zip Code)
(Contact Person) - ./ d (Phone)
APPLICANT SIGNATURE (\ .~~ <~ DATE ;s01)~<-/
.~ ~~ICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL~~~ ~cj SJ~ FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWann Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
- ----- _... A....~
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 11/05
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-. 01 V 7
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
(l1ce Use Only)
Chis Application Becomes Your Building Permit When Approved
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.31. 5"0
.50
"1'0 ~ , tJ
Building Official
Date
pa~ /f/O
Da3" Jd...--;4--
Receipt ~ vi /
By j-'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
DATE
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED'/ / ~
51~ . ' ~
ADDRESS ~/:;ytA-/Ot:l d 0/-
OWNER
CONTR.
PHONE NO.
L/-/~7
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
~H FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENT~ / ~
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rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR INSPECTION BEFORE COVERING
Inspector:
QALI,; 44J-9~~~ FOR THE NE~T INSPE9TIQN 24 H(lI)R,S IN ADVA,NC~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY I
1N$N011
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