HomeMy WebLinkAboutMechanical 07-0011
DATE TIME
CITY OF PRIOR LAKE 2'1. J 67
INSPECTION NOTICE SCHEDULED )
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ADDRESS l(oll\
OWNER CONTR.
PHONE NO. PERMIT NO. t..""
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION '" MECH FINAL 0
COMMENTS:
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~ORK SATISFACTORY. PROCEED
o CORRECT ACTION. AND PROCEED
o CORR~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
~AL 44 :;;50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF fRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Dotc Rcc'd
. 3 0'7
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i ~~~n ~!;y I PERMIT NO. (. 00 {, I
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
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(Phone) C/SJ - /"/Y7 . 310j
OWNER
(Name)
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APPLICANT --;) ,
(Name) j~n.5
(Address) ~O /0
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(Address)
(Contact Person)__ L\ rc10 (Phone)
APPLICANTSfGNATURE ~~y~ DATE
APPLICANT PLEAS}: COMPLETE BELOW
DNEW CONSTRUCTION [B'REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL '1\\J..,U:D LlbP~01- FUEL Ol::i
OUTPUT 5(0. [Y)O
(Phone)
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(CitY) I
(Zip Code)
FLUE SIZE
RETURN OPENINGS
INPUT
q-O,DoD
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm 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.
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
$
$
$
31.GD
.50
40,cO
(Office Use Only)
BuUdinl! Official
Date
Paid 4-~. CJ ()
Date l J - () 7
Receipt}Jlo.. "7 CI
F !j '- 02-.2-.
B~.
This 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