HomeMy WebLinkAboutMechanical 06-1114
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
u(m) f3vrm~t-t~
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:
# v;- tUt.- rJf
DATE TIME
t). - ~~-cn,
I
Ofp-' 111l{
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ASLINE AIR TST
o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROC~D
o CORRECT WORK.1CALL F~EINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,fW~
'tIN^,ESO"~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec' d
1. Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NO. 0(.;-1// q
/
ZONING (office use)
(Please tvoe or orint and sign at bottom)
'ADDRESS 4' \ n ~ 0 \ -
, , DO, f_Yo[) lAC, 'Ii\.'\.. ~~ vd.. (\1::-
P 'C\ LN l tA-k.e. -, f\.J ~---s 3 r~~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID (;Zr&' ()U0
OWNER
(Name)
De-A.! C\.
Rs-. 'reV c0I. wet '""n
(Phone)
(1 ~ d.d.-b3 7 ~
(Address)
APPLICANT
(N ame)_
(Phone) _n
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
,In \~ ..~
~ ~pt<I\~ / DATE
APPL\CANT pLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
(Phone)
APPLICANT SIGNATURE
\ ~ -' db - of>
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL~ 5
'J
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
f/)V( -tor
rOJ1%f,_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.
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
ST A TE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
'l)ffice Use Only)
Buildinl! Official
Date
Paid Lj() _ --
Date ( J..- d {.. 0
Re~~~~()
By ~.
.'his 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