HomeMy WebLinkAboutMechanical Permit 07-0440
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ,,)IL,~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE
SCHEDULED ~l-0{)7
C\p,Q:~ f(:~ tZ&
TIME
CONTR,
PERMIT NO.
"1 -lJ-l/7)
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP@DFIREPLACERI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINA )zf-G,uLlNE AIR TST
o MECH FINAL 0 ~.
0-
'ilWORK SATISFACTORY, PROCEED
(J CORRECT ACTION AND PROCEED
o CORRECT ~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: "~ \ Owner/Contr:
TI)
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Pr~Ol
i ~i:~~w 1~~icant I PERMIT NO. 0 7. 044-() I
(Please type or print and silln at bottom)
ADDRESS
S13~ Cf(6brrRIOE'L
~D,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
Jv,1A) tl6A1Cb
H. f;cHM I])
(Phone)
CfS2- -2. 2.b-~)6.J
(Address)
APPLICANT
(Name)
(Phone)
(Address)
(Address) tf1
(Contact Person) ~ /J
APPLICANT SIGNATURE {_~ ~. . ~ ~
(City)
(Zip Code)
(Phone)
DATE
~-9-0 7
--
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
HEATING OR POWER PLANT
DWann Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
I:'TDI:'DT .ir'l:; lIi,^Vl:; <\}u) HOpEL (;,r/'J L-/JJ~ Po.<:.. ~/'IGB
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.:sq, 50
.50
+'~ _ tJO
''lffice Use Only)
Buildin!! Official
Date
Paid ~d , dV
Date L 0 7
(, ./~
Receipt No. 53'7/
BY/;J{Uf
f
'his Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372