HomeMy WebLinkAboutMechanical Permit 07-0302
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
CONTR.
PHONE NO.
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
o MECH FINAL
COMMENTS:
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DATE TIME
~-Ifrn
7- Jo<-
o EXIGRAD/FILLlNG
o ~LAINT
..,...B'"'FIREPLACE RI
~ 0 F~E FINAL
..-a'"GASLINE AIR TST
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~ SATISFACTORY, PROC D
o CORRECT ACTION AND EED
o CORRECT ,W01RKjf OR REINSPECTION BEFORE COVERING
Inspector: / Iv I Owner/Contr:
.I
CALL'447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
S"', Jr, 07
(Please type or print and si~n at bottom)
ADDRESS
~. ~~:w E!~iC>J1t I PERMIT NO. b 1. () 3 () 2-1
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
1) \ LL
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(Phone) Q)'l # Llif--tJ1 J )
(Address)
5AV\2 .f1
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A Fireside Hearth and Home
( 20802 KenSington Blvd
Attn Danlelle Ostgard 952-985-6675
(1 License #20512060
Lakeville, MN 55044
(Phone)
ZONING (office
use)
PID z.C, z.,(r CO,~ b
(Zip Code)
(City)
(Contact Person) 1'\ I~. (Phone) · .
I APPLICANfSIGNATURE lJr{ 'If1P/~ DATE 5"/.4'7
At A'PPLICANT PLEASE COMPLETE BELOW
i\iNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent System
INPUT
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
t'tlt1'"'- ,J-,G--0 ~l#j501t<)-lVI-u
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50
$64.50
Industrial, Commercial & Multi-Family
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ 3 '1~
$
$ t.tO ,.v
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid tf'a (/()
Dates, ~. 01
BuUdin!! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39,50
$39.50
$39.50
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