HomeMy WebLinkAboutMechanical Permit 07-0315
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~-';j-7//
ADDRESS
/44C4
5qJLfx~ 11 Tft
,
CONTR.
OWNER
PHONE NO.
PERMIT NO.
7- 31:;
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
-,-
r /VYvl"U
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~ FOR REINSPECTION BEFORE COVERING
Inspector: tI r f 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
I. Pink File
2. Green City
3. Yellow Applicant
5 / ~ ! 0]
PERMIT NO. 07-03t5
(Please type or print and sil:n at bottom)
ADDRESS
\ltyltt\
~&c9~
ZONING (office use)
&uc< l.. , ~
LEGAL DESCRIPTION (office use only)
, LOT
BLOCK
ADDITION
PID
~=R OAo-e ;:Jt\tJ Ln-J~
Sha&~ 8PcJl T k1(.
APPLICANt" < t , - A
(Name) bPN7 S,~ \4?{1"'\.IV'r:-
(Address) t 5D d ( rY'ct~ \ ~ Rp
(Address)
(ContactPmon) lifH<e t~ ~
APPLICANT SIGNATURE ~~~,_
\
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~EPLACEMENT 0 AL TERA TIONS. Ir
FURNACE MAKE AND MODEL tu'l A\V.....(. FUEL N~~
FLUE SIZE RETUR~ OPENINGS INPUTlfi1Db~ OUTPuA~OOI1
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants 0 Steam
DGravity 0 Hot Water
D Mechanical D Radiation
DAir Conditioning 0 Special Devices
DVenL System 0 Other Devices
(Phone)
(Address)
Il\ '-\lc '\
(Phone) Cf~}- ~ 7~ J-
(City)
(Zip Code)
(Phone) (p ( '} .. ?:l.c~ - (~~ 7
DATE 5 -9 "'C)f
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.
FIREPLACE MAKE AND MODEL
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
$
$
$
3q. 5"0
.50
40.0 0
''lffice Use Only)
his Application Becomes Your Building Permit When Approved
~ ~ s!:l/6.,
Buildinl! Official ' Date
Paid
'I tJ ,DO
579/4 ,
,
Receipt No. ~$l.(f /
By ~,
,.,
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372