HomeMy WebLinkAboutMech Permit 04-0386
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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A~e,
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OWNER
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL ~LUMBING FINAL
o SITE INSPECTION /""ECH FINAL
COMMEN1S; / L2 /
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DATE TIME
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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kRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK;l~~ FOR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File PERMIT NO .
2. Green City . /)} j __ l~. (ll ~
3. Yellow Applicant (H' :) ~ P
(Please type or print and sign at bottom)
ADDRESS
5162 HtjPE ST SE
LEGAL DESCRIPTION (offic~e only) ...
1()'I-rlo.t'fJ 1'- C \ I, /) ..~.L-", _ J
LOT %WCK ADDITION m~J1_ "rlJ rn
OWNER
(Name) PAMELA JUUL
ZONING (office use)
PID~ ~5 -I.c; ~<; - GJJf-<D
(Address)
5162 HOPE ST SE
(Phone) 952 - 944 - 8 1 58
APPLICANT
(Name).
RON'S MECHANICAL, LNC.
(Phone)
qc:;?_.a..a.c:;_~~~~
(Address) 12010 OLD BRICK YARD RD SHAKOPEE MN 55379
(Address) (City) (Zip Code)
(Contact Person) L\Mo. (Phone) QCO'2.- 44o"85~
APPLICANT SIGNATURE 1;hvda.- ~l'\OJdJK DATE lQ- 3-0<<1
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL e~~v'rf" ~IrNxoaD FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
~echanical
ir Conditioning
Vent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~.~
41) . db
'lice Use Only)
This Application Becomes Your Building Permit When Approved
Paid. /
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Date5 - 5- '1-
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Recei~h,f ()6
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