HomeMy WebLinkAboutMechanical 03-0062
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
) - 2.t1- tJ'S
1~36
ADDRESS 31 i i
ak ~utf
OWNER
CONTR.
PHONE NO.
PERMIT NO.
03 -00(0'(.,;
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
/If FIREPLACE RI
o FIREPLACE FINAL
:fJ-~GASLlNE AIR TST r.P.
o
COMMENTS:
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C.on ~ tos~ o>t:..
o WORK SATISFACTORY, PROCEED
o CORRE I \/ AND PROCEED
'f.. CORR CT RK CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector: \
"~J
CALL 447 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~UIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE"- -'.
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:~n ~~~. I PERMIT NO.O 3- /.-,1
3. Yellow Applicant 0 ,~
3/ r:?t;
,
-<ok?! 8lur-/' fJrvc/tJ
ZONING (office use)
l</sO
LEGAL DESCRIPTION (office use Only).,NJ.
LOT;;7/ft3LOCK I ADDITION l11cn;t/l/))O{)c! (/()OA~;j~4 C5 r PID;(S - 37/- L)(}-~I-O
(Address)
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(Phone) C15J. - l/ t//J -88 (i C;
OWNER
(Name)
APPLICANT r-- '/1 J /) I. I If'. . v--.
(Name) ~- (V' p, i(VQ. ~OVIA/Jr/)-ftfl Be/.. 1\{ ([Jr/c1(J (Phone) 9~ '2- /1 C/ /J- 075,41
(Address) 3}(s'(J Iv, I/z/-:? Buif1r:;Ur '(I()/ iifj1j~ ~~:733?
- (Address) - (City) (Zip Code)
(Contact Person) r}J II I/s: r:r: .' I .. . ~ (Phone) 95;(- Yt?1J -0751?
APPLICANTSIGNATURE L1'v:,;YM~ DATE / / 9 / {}?
o APPLICANT PLEASE COMPLETE BELOW
-' DNEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
FIREPLACE MAKE AND MODEL
o Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation Cannot Encroach into
o Special Devices Required Side Yard
o Other Devices Setbacks
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FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
f'm TOTAL PERMIT FEE
\ j;,:ce Use Only)
...... ----this Application Becomes Your Building Permit When Approved
$
$
$
-.:s C;. C," U
.50
1/1)' -
Building Official
Date
Paid
/ ----.
I/O,
Date - 4 O?
/- 0; - ...:)
Rece~t No. ;)
if .-=3 /j 5 ...:.J
By .
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24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372