HomeMy WebLinkAboutMechanical 03-0146
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
2)?!O] i~lS-
ADDRESS ~/Of)lo ~~t
OWNER CONTR.
PHONE NO.
PERMIT NO.
03 -ll{b
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP A
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
~ FIREPLACE RI
t FIREPLACE FINAL
] GASLlNE AIR TST
o
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~ ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or orint and sign at bottom)
ADDRESS
It/os?::' ;V~/c fi?4;)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
APPLICANT
(Name) '0' ""
&{ LVJ
(Address) /4V56 fV'''+'''/ft. kk_.J
(Address)
(Contact Person) IV h-\. 6L\ r lc...-v4
~/
APPLICANT SIGNATURE
Date Rec'd
Z-~5-03
~'~::n ~!~y PERMIT NO.01?_O IA/-
3. Yellow Applicant :.,) Ic.nv'
(Phone)
ZONING (office use)
PID2-.C""" - IZ4-01+-.U
(Phone)
(t.s-J..) (No 2/0'1
P f~ fl.J!L L f~ *-(--
(City)
(Phone) '-I Lf{) -- Z-/{)1
DATE J.. -'/ - () '5
,-----
s-s 5 Jl.
(Zip Code)
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
~ ') OVent System
r1'IREPLA~ AND MODEL
~ - ---
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ .3 9. .~-V
$ .50
$ 4-0 . ~ 0
~
'ice Use Only)
This APplZ' Ao~comes Your Building Permit When. Approved Paid 4- I. VlJ
cl) yvcr 7, . ~ -03 Date
Building Official Date Z .... r- - c) j
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
ReceiPt~.f=]cfB y
By K
U