HomeMy WebLinkAboutMechanical 03-0001
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULE'o
. /-2-0 3 ~:Jo
ADDRESS
S-). 77 (171I:/C-5 C}~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
:$ -t1~ I
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 EXIGRADIFILLING
o COMPLAINT
.lirFIREPLACE RI
~ 0 FIREPLACE FINAL
. .@t."GASLlNE AIR TST
o
COMMENTS:
* J-S- C{i Y'
riL
c..-/
S
~ \ 0
iJ I
L/
__ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ 1- J..-()L Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ::':0 ~!:y I PERMIT NO. /'l 9 -(JOO I"
3, Yel\ow Applicant U c;t..
(Please type or print and si~ at bottom)
ADDRESS
~ cJ '7/7
I!Y/)td~/V
ZONING (office use)
ICI
LEGAL DESCRIPTION (office use only) .
/ I J bZ _1 /J /I j I. jJ J1 'I IUd
LOT f.(> BLOCK '-t ADDITION ~ ~ d '
PID d5- CJI i>- 0tI1-l:)
lM~U~R
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(Phone)
(Address)
:rm IbI4C;:{6/e:. ~cA~ft/L~ ~) t/d.- fs6/--cPc)/3
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~ac:fPerson) ';;}c/?~';j/;'4c;/&e. ~ile) 0/~-9C//'-d7Cq
~NTSIGNATURE .~~ tJ 1;Ut1'~ PA*E ;~6Z-0,=5'
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
,,-PLACE MAKE AND MODEL
Wa 'Ia,!;;
INPUT
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
'bY 360 R-F#
OUTPUT
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
"-~ Cj 50
.50
U(J,---
,
lice Use Only)
This Application Becomes Your Building Permit When Approved Paid 4 0 .~ Rec21 ~'? 19
Date ....-By /-'./P )
Building Official Date) J ;)- 3 1- () ()- '-1!,_../
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 (J
16200 Eagle Creek Avenue, Prior Lake, MN 55372