HomeMy WebLinkAboutMech Permit 04-0998
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CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONING/FIREPLACE PERMIT
REQUEST FOR FINAL
lease type or print and siltlut bo INSPECTION SENT TO
AD,DRESS EOWNER 01-05
1L(~7~ RD5~ B~~ \'"'1 jVC- J Vf2-/l5YL L41C6..
LEGAL DESCRIPTION (office use only)
LOT q BLOCK ~ ADDITION K ~lCI b
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OWNER /?_
(Name) ~flIik1
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(Address)
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APPLICANT
(Name)
Date Rec'd
1. Pink
2. Green
3. Vellow
File
City
Applicant
PERMIT NO. oct - 0'f'1~
ZONING (office
use)
PID:~5/ -:;/0 -(})q-O
(Phone)
(Phone)
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(Address) (Lf5'7r;- fZn~D) I2d jIJ'17 'Yf2-ItsniA/,/-/E:... 5)17 L
(Address) (City) (Zip Code)
(Contact Person) ~~ ~1/) JIJ (Phone) __h/7 - '\$l-. ,- Lf'7?o
PPLICANTSIGNATURE (Ib~./l~ DATE (b!c.r!()t./ '
--.~ - - ~
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE - "UT OUTPUT
?OWER PLANT
DV,<) - ~c..
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
TYPE OF S REQUEST FOR FINAL
OWarm Ail INSPECTION SENT TO
DGravity. HOMEOWNER 11/05
o Mechanll
DAir Condi.,.
DVent. System
~s
o Other Devices
FIREPLACE MAKE AND MODEL
6NI fUZE
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
j I
r~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $ I tJDD Building Permit #
HEA TING PERMIT FEE $ .:g>d}. ~o
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
~.IJCJ ~.
Paid '-/.~ $t.,;. -a Receipt No.
(J,OO
Date //)/1 lOt{ BY~.
, I .
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
pplication Becomes Your Building Permit When Approved
. ~ I(J/t./~&/
Buildinl! Official ' . bate
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Iq07~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-
COMMENTS:
DATE TIME
Oq~ 99 f?
o EXJGRAO/F1LLING
o ~MPLAINT
o FIREPLACE RI
'0 FIREPLACE FINAL
o GASLINE AIR TST
o
SENST~F~
INSY~C'110N. 'LE'llERS uur-
-RECEIVFJD-NQRFSPClNSF;
IN.A.CTIVITY
TO
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIISNOTI