HomeMy WebLinkAboutMechanical Permit 07-0142
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.93~
ADDRESS
L'-{{lq ~ kfu--
OWNER
CONTR.
PHONE NO.
PERMIT NO.
7 -fL-tJL-
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
..,Jd"'FIREPLACE RI
o FIREPLACE FINAL
t!'GASLlNE AIR TST
o
COMMENTS:
t/?r JS a /y ()/!
~ORK SATISFACTORY, PROCEED
h CORRECT ACTION AND.ROCEED
o CORRECT WOIBC. CAf"IIfOR 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!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
3,2-/.07
~. ~i;:en ~!;y I PERMIT NO. 01. 0 '4 ? I
3. Yellow Applicant . I" l:..f
(Please type or print and sign at bottom)
ADDRESS
/~I/f rlSI-/&ie /lVc-.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zs: () 15+.00/. ()
OWNER
(Name)
(Phone)
(Address)
APPLICANT_
(Name) Kit,... (
(Address) / If // ,
F; /" Ic~
;=;. s ~.e r- Ar /I t::
(Address)
IJE
(Phone) 9~'Z. - lio" - '7 1C 2
f1.Zo- {.l}("~ S-" S 7 ~
(City) (Zip Code)
(Contact Person)
~./'~
(Phone)
DATE
"5 - 'L1-o7
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
~vent. ~~
GREPL~~E AND MODEL
HEATING OR POWER PLANT
o Steam
D Hot Water
o Radiation
o 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.
Q~.orOL -P:r--<L G< V '3 C~ -F ~
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
TOT AL PERMIT FEE
$
$
$
.3 9,S()
.50
40. dO
'lffice Use Only)
Buildin!! Official
Date
Paid 4(). 0 ()
Date 3. 2 /. () 7
Receipt No. r?
By;W;JZ'1
,'his Application Becomes Your Building Permit When Approved
~ ~t-J S/?I/07
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372