HomeMy WebLinkAboutMechanical 03-0179
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED ~-~7-c-S
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ADDRESS q loa.. W~, \o,..~
OWNER CONTR.
PHONE NO.
PERMIT NO.
o~- \"1,
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 EXlGRADIFILLlNG
o COMPLAINT
.. FIREPLACE RI :u.lctr-\
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~rCALL FOR REINSPECTION BEFORE COVERING
Inspector: .~ LI_ Owner/Contr:
CAL~k~J FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE.
CODE '}JQ'VREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$NOTl
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
2 -II" {(J
I. Pink
2. Green
3, Yellow
~I~, I PERMIT NO. /')? -/lVr7a
Apphcant u..; V; / 7
,
ZONING (office use)
~'2-,J 0
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ADDRESS
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LEGAL DESCR1.t' nON (office use only)
LOT
BLOCK
ADDITION
PID
fCf Y /n II'
(Ala 90 YI f)Y'lrlg f fJr'Y'r!.p J1)F
AIiiAt4-=irA~
APPLICANT . A /II t (J l I ( /lll' J iI.'I\' ,J L dba Fireside Hearth & Hchle
(Name) &1.r~~ I'd!- e (f1 erAr 1\ r l'tO WI e Ilfl 11'( ~..I'(Phone) 95~ ?f'9t1-o /5~~~~"'"
j / 1/;1 II //J;J /1/ / F\oS8VilIe. MN 55113
(Address)SX-SO U). tJ/J)rl /~ /,/()}YJIJ,,;;;///!tf)/ ////1/. S.t::339 6511633-2561
(Ad~ / (City) (Zip Code)
(Contact Person) )'h pJ \' S SOL iJ, (Phone) 1)5/1- r~/J- O?~
APPLICANT SIGNATURE 1Jl1-t:r/~, 1<~A.1' DATE . Feh~ Jqfi, ,03
tJ
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL . FUEL
J1 p_lo Y'{)
'f(O ~
(Phone)
93'd. ~ L/t//l- /C20Cf
OWNER
(Name)
(Address)
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
OUTPUT
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
H e~ct1---W~()-I() fl10d pj: GY'O/trl-.tT /VtJ-/'yf- dlr~fl/t!'J1f
Estimated Cost $
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Permit # (J..J - 0111
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.3 9. SV
.50
4-() - dZ/
LOffice Use Only)
,his APP?~m.. Your BuUdiog ;",;;';,h;{pprOVed
Building Official Date
pa~ _ crv
Date
?/lq~1JJ
Rec~~'qOS-
BY~.
U
.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372