HomeMy WebLinkAboutMechanical Permit 07-0153
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
r- J-.s-?7
ADDRESS
!;7Jqt(
111M It 5~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
7~ IS->
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
o EX/GRAD/FILLING
o COMPLAINT
:)~IREPLACE RI
I. "~IREPLACE FINAL
(tl.. 0 GAS LINE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION _A~ROCEED
o CORRECT WOT ry- FOR REINSPECTION BEFORE COVERING
Inspector: l!~ r. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
(Please type or print and sij(n at bottom)
~ ~1~T- -';--\\~n~~h~.(C'd
HEATING/AIR CONDITIONING/FIREPLACE PE~I~AR 2? Z007 [\)1
~?co CAJhb 61- 0011 6~
~. ~l:~n ~~~y PEiMITNO.~""f=-o-:_:n:--~ f)IP
3. Yellow Applicant V 1__ I.:;,J...::;J
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CITY OF PRIOR LAKE
ADDRESS
,3){99 I!JMsA Ave. tJ.F:
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDz.,r- ~ 143. ()4i, . 0
OWNER ~ _
(N ame) l n/V,.(
( 0;n~r ~ (l-V'
(Phone) q5(}-;}J&-~d-d-"
. .
(Address)
, .
~~~~~ANTG//JJiJMJbJkil11~ 0' ~ (Phone) Q5;;-W;;/C!cJ 70
(Address)Ji]f) F/J);f'oth D~ ~J;I ~ :rS-:3~loL
'. }Ad'Je,ss) . (Cn (Zip Code)
(Contact Person) ~~ ~v;u/;uf ~. (Phone) ~)d-'I-1J-fJ 7&;
APPLICANT SIGNATURE /~ _~----'t".".L...-- DATE "W~/fJ~
/ ,.
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT ~ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
HEATING OR POWER PLANT
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.
DWarm Air Plants D Steam
DGravity D Hot Water
D Mechanical D Radiation
DAir Conditioning D Special Devices
DVen!. System D Other Devices
FIREPLACE MAKE AND MODEL C~ rOYl4..: 3(0 JJ..IV 0
'[).,Jj ~ ~
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AIC (New Construction) $99,50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $ 1/ t LJ rJP
Industrial, Commercial & Multi-Family
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Permit #
HEATING PERMIT FEE
ST A TE SURCHARGE
TOT AL PERMIT FEE
$
$
$
--() 5V
') ;.
.50
L/(). t)l )
(Office Use Only)
Buildin!! Official
Paid #. tV
Date J 2J. u7
(
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Date
Rect;NO. 5~?/9
(f' I
'his Application Becomes Your Building Permit When Approved