HomeMy WebLinkAboutMech Permit 02-0780
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
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FINAL rz (
o SITE INSPECTIO
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
:,:::ECTW~ REI"::::::::'ORE COVERING
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
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Date Rec'd
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT r BLOCK ADDITION
PID :2S-J/'-I- do") -3
OWNER
(Name)
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Phone)
/l-dvUI7It2tJ!0 /}/// /~, (Phone) YOO)-C/'Y-y/r?{)()
<3c2o /30-lh cfl.?U, cF/7~~ //7/// cr6379
/1_ / (Address) , (City) _ ___ (Zip Code)
J:./eI:2 (Phone) 9'3 J- 'V Y J- /900
DATE ~-/c?-() d--
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(Address)
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APPLICANT
(Name)
(Address)
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL ~ Ida..; /0
FLUE SIZE RE OPENINGS
TYPE OF SYSTEM
~arm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
I FIREPLACE MAKE AND MODEL
REPLACEMENT 0 AL TERA TIONS
FS' 3t?A/60 ~ FUEL /1a.-f
INPUT /001 ()DO OUTPUT~, GoO
I
HEATINGORPO~RPLANT
o Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation / -eF Cannot Encroach into
o Special Devices 1 J'u-j?r' / Required Side Yard
o Other Devices (:r /,e--fU./7'7J' Setbacks
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FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
$39.50
~
$39.50
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$c5ySO
$ .50
$ '16.00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245